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0600 SOUTH MAIN STREET - Health
600 SOUTH MAIN STREET Centerville A= 186 -043 SMEAD KEEPING VQU ORGANIZED No. 12534 2-153LOR Ouw.aEcvaFo NrtWNE corrtern0, I OST40NSUAIER WAM YAM N USA r*T ARGAw7,ED AT SYEW.COU ` ]] / e No. 1' Fee 5� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 0[ppfitation for Misposal *pstrm Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade e) Abandon( ) Vomplete System ❑Individual Components Location Address or Lot No. U D sov�k W,n S 6 Owner's Name,Address,and Tel.No. jZ6-48_;? �e v6 t5 ct '.�ttu'(al'y /Z� Assessor'sMap/Parcel f$(p Dy 3 te_ru,I/L e919 6(-Of S� • �(� [��s� Installer's Name Address,and Tel.No. 570$-q2$_7°t.G Designer's Name,Address,and Tel.No. SDfr-Y99-,-5311 Borlo loffi Nnsir't44-;Cm,T-06• y�=t�vsNy2d� ftine�-_Knj a)=cKs7=nc /a uI• '�usG� /. LMOW66-k-e. d is j KA Oar gs Aa ,_5 Wa/&_ 44A 0a(. 1 Type of Building: Dwelling No.of Bedrooms Lot Size 3 V) t sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided q(16• .3 gpd Plan Date Q 1 q Number of sheets -3 Revision Date Title e nt-i C Size of Septic TankJ{ip�5 �� / L#4ymp, of S.A.S. �7`�(�j o� KLe n2 I- S(71yuQ_ Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Cod not place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signe Date Application Approved by Date .S ? 00/ Application Disapproved by Date for the following reasons Permit No. 24 I t// Date Issued zo --- -- --- ---- ------ TOWN OF B/ARNSTABLE LOCATION 4, p Z A X„✓ SEWAGE# VILLAGE ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. r�d� i SEPTIC TANK CAPACITY /Jba CAL �/®� LEACHING FACILITY:(type) 5'4*e `d (size) i-7 x y j- >e NO.OF BEDROOMS OWNER L d'Z Zr PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility —Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY 000 0 `' 4 a , ' ,l, No. r, Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for bisposai 6psteut Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( Abandon( ) T/Complete System ❑Individual Components Location Address or Lot No. (��0 Sou t n S�-. Owners Name,Address, rh lY K1L ' , and Tel.No. Assessor's Map/Parcel gL o Ce n t-rUio� Installer's Name,Address,anA Tel.No. Designer's Name,Address,and Tel.No. Spfr.y7/,).-5-3/3 �on5{ctx.�icrn,Moe . rKs,`T-nC /Aev 55G !U A • Type of Building: - Dwelling No.of Bedrooms - -- Lot Size Y3 W,,n sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required gpd Design flow provided �!t!t!'6. 3 gpd Plan Date _ Number of sheets 3 Revision Date Title n , 1 v Size of Septic Tank v 1 z Ty S�.S. ry ���- 1 p �r� e ofT ..�Yf p !/X 3`' 3am�`t-f3° l- Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in . . accordance with the provisions of Title 5 of the Environmental Code d-no place the system in operation until a Certificate of an Compliance has been issued by this Board of Health. Signed / "1,, . Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No.�- - // Date Issued --------------------------------- ------------------------------------------------- ------- ----------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( Abandoned( )by' Es� has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit NoZ. 041��� dated 3174�Zo 1 Designer #bedrooms Approved design flow gpd The issuance of is I rmit shall not be construed as a guarantee that the system wit func'tio as design d. Date Inspector - ----------------------------------------"---------------------------------------------------------------------------/----------------- No. ( Fee N S� 0 . THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Disposal *pstem Construction permit Permission is hereby granted to Construct( ) Repair( ) Upgrade(k) Abandon( ) System located at fir, jam,, 44 ,111- 'rk, —r 1/1� 14-42 and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date 3 I Z 0/Zy 1 15 Approved by -- -08-2019 22:36 From: To:15087906304 Pa9e:1/1 Wig Town, of Barnstable fin; w ,Regulatory Services Richard V.5cali,Interim Director • n.rtr+sntets. • �; Public health.Division r�M Thomas McKean,Director 200 Main Street,Hyannis,MA 07601 �4'S Office: 50R•962.4644 Nue: $08-790.6304 installer&Desit.►ner Certification Form Date: � I 1 Sews a Permit# a019- i l ( Assessor's Aiap\Pareel ) e(Q.rQ 473 Designer: grlasi r--;na t ilcr(,cs I►1C Installer: � /l fvt 1 v Address: i2. W, Crass-A,ld !ZJ Address: �.�� I0lJV�ivv f2 l i�t^es hJz Le.M A 4 2(r.4/ stf M r I lc Md- On / o 461 a 6 N-1—twas issued a permit to install a (date) (installer) septic system at 666 -�W-J A based on a desiga drawn by (address) dated Z. (designer) 1 certify that the septic: system referenced above was installed subsiantially according to the design,which may include minor approved chopges such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. ��t f� c►M 4 " �,e e-4- /� 1..� z� er-f I certify that the septic system referenced above was installed with major changes (i.e. geater than 10' lateral relocation of the SAS or any vertical relocation of any eompotlerlt of the sdptic system) but in accordance with State&Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required)was inspected and the soils werd found satisfactory. i certify he system referenced above was constructed m with the terms oft A proval letters(it'applieable) `M NTE�• � er's Signature) ttp%L, 0 ,-signer's Signature) (Affix Design ere) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERT FICAT OE" CO P,LIANCE NVJLL NOT BE ISSUED UNTIL 130111 THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC REALTH VISION. THANK YOU. QnSeptivijcsigoer Certification Furm Rev 8-14-13.doe EnBineare note,This corgication is limited to an o;-built in.pecNon of systom components a:installeC prior 10 backfi11.The arvinsor did not suparvisa construction of the system_The installer assumes responsibMy for all matarials,workmanship,backfilring to cpoaiGad grades with proper compac5on and setting KrArskovcr as shown on the design plan. r IKE 1p� "�. Town of Barnstable Board of Health 'FD" 200 Main Street, Hyannis MA 02601 Office: 508-962-4644 Paul J.Canniff,D.M.D. FAX: 508-790-6304 Donald A.Guadab oli,M.D. John T.Norman. F.P.(Thomas)Lee,Alternate Mr. Peter McEntee, P.E. February 28, 2019 Engineering Works 12 West Crossfield Road Forestdale, MA 02644 RE ,, 600 South Main Street, Centervllle;' A 186;=043' a, Dear Mr. McEntee, You are granted variances on behalf of your client, Paul Waldmiller, to construct an onsite sewage disposal system at 600 South Main Street, Centerville. The following variances are granted from local health regulations: Section 360-1 of the Town of Barnstable Code: To construct a soil absorption system zero (0) feet away from a coastal bank, in lieu of the minimum one-hundred (100) feet separation distance required. Section 360-1 of the Town of Barnstable Code: To install a septic tank zero (0) feet away from a coastal bank, in lieu of the minimum one-hundred (100) feet separation distance required. Section 360-1 of the Town"of Barnstable Code: ' To install a pump chamber zero (0) feet away from a coastal bank, in lieu of the minimum one-hundred (100) feet separation distance required. Section 360-1 of the Town of Barnstable Code: To construct a soil absorption system 58 feet away from a vegetated wetland, in lieu of the minimum one-hundred (100) feet separation distance required. Section 360-1 of the Town of Barnstable Code: To install a septic tank twelve feet away from a vegetated wetland, in lieu of the minimum one-hundred (100) feet separation distance required. Q:\WPFILES\McEntee Hazlett-Waldmiller 600 South MainCent Feb20l9.docx The following variances are granted from the State Environmental Code, Title V: 310 CMR 15.405 (f): To construct a soil absorption system zero (0) feet away from a coastal bank, in lieu of the minimum fifty (50) feet separation distance required. 310 CMR 15.405 ft To install a septic tank zero (0) feet away from a coastal bank, in lieu of the minimum twenty-five (25) feet separation distance required. 310 CMR 15.405 (f): To install a pump chamber zero (0) feet away from a coastal bank, in lieu of the minimum twenty-five (25) feet separation distance required. These variances are granted with the following conditions: (1) No more than four (4) bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection.. (2) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to four (4) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (3) The septic system shall be installed in strict accordance with the engineered plans dated February 5, 2019. (4) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the submitted plans dated February 5, 2019. Physical constraints at-the site severely restrict the location of the septic system due to its close proximity to the coastal banks and wetlands on three sides of this property. The proposed system appears to be designed to meet the maximum feasible compliance standards contained within the State Environmental Code, Title V. Sincerely yours, Pa J. Ca Chairman Q:\WPFILES\McEntee Hazlett-Waldmiller 600 South MainCent Feb20l9.docx m r� r 1 DATE:,��//C- I FEE: f BARNSrABLE, I NAM 1639. h,a REC.BY Town of Barnstable // SCHED.DATE: Board of Health is 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Paul J.Canniff,D.M.D. FAX: 508-790-6304 Junichi Sawayanagi Donald A.Guadagnoli,M.D. Alternate:Cecile Sullivan,RN,MSN VARIANCE REQUEST FORM LOCATION Property Address: &00 .90 v1-11 IMCA�,n Assessor's Map and Parcel Number: I Z-(„-- 0 47:z Size of Lot: 4 3 A h G Wetlands Within 300 Ft. Yes y Business Name: t)IA No Subdivision Name: n///�- APPLICANT'S NAME: �ea-er MC1g A-e,e f>6 Phone 5 c-g--7 3-7-4-7(v� Did the owner of the property authorize you to represent him or her? Yes No PROPERTY OWNER'S NAME CONTACT YPERSON Q Name: y �kCC�4}" Name:i�,c�\W cal\G�Mt't�� P2rsUvc� �Z¢(� �i 60 S�Q, c�'y v` 5}' C Address: ev�4f f J.(� Address: So.rb%SO4-al fit_, Phone: /0-0 tee. Phone: 8-32-Zr 6 ti —2 9 g 9 EMAIL: ?Q ris wcLI Ck 0 @_�,wCi±C.0 0,1 VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) 10 CM(2- kSr-L0S- a-A jzCsxIb4 CcjOn&l+`z�tice NATURE OF WORK: House Addition House Renovation LJ Repair of Failed Septic System 10 Checklist (to be completed by office staff person receiving variance request application) Please submit copies in 5 separate,collated packets. Five(5)copies of the completed variance request form _ Five(5)copies of engineered plan submitted(e.g.septic system plans) Five(5)copies of MA DEP approval letter for I/A septic systems only. E Five(5)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) A completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or registered sanitarian Signed letter stating that the property or business owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only) Full menu—Five(5)copies of full menu submitted(for grease trap variance requests only). $95.00 variance request application fee collected (No fee for lifeguard modification renewals , grease trap variance renewals [same owner/lessee only],outside dining variance renewals[same owner/lessee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Paul J.Canniff,Chairman NOT APPROVED Junichi Sawayanagi REASON FOR DISAPPROVAL Donald A.Guadagnoli,M.D. C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\BMQD49H2\VARIREQ Rev APR2017.DOC I l i Engineering Works, Inc. 12 West Crossfield Road, Forestdale, MA 02644 Tel/Fax (508) 477-5313 February 7, 2019 Town of Barnstable Board of Health 200 Main Street Barnstable, MA 02601 Re: 600 South Main Street, Centerville (Parcel ID: 186-043) Dear Members of the Board, On behalf of my client, Paul Waldmiller, the following request for variances related to a septic system upgrade, is being made. A complete septic system is being proposed to replace the failed septic system. Variance Requests are as follows: • 310 CMR 15.405(f) — CONTENTS OF LOCAL UPGRADE APPROVAL ✓ 1. A 25' variance, septic tank to coastal bank, for a 0' setback. 2. A 25' variance, pump chamber to coastal bank, for a 0' setback. f 3. A 50' variance, S.A.S. to coastal bank, for a 0' setback. • LOCAL REGULATION, Chapter 360, Article 1 — Setback Requirements 4. A 100' variance, septic tank to coastal bank, for a 0' setback. 5. A 100' variance, pump chamber to coastal bank, for a 0' setback. 6. An 100' variance, S.A.S. to coastal bank, for a 0' setback. " 7. A 38' variance, septic tank to vegetated wetland, for a 12' setback. V 8. A 41' variance, pump chamber to vegetated wetland, for a 59' setback. . 9. A 42' variance, S.A.S. to vegetated wetland, for a 58' setback. Variance requests are being made to maximum feasible compliance, considering available suitable location, existing topography and ease of equipment maneuverability. Sincerely, C- C Peter T. McEntee P.E. i I I I I [BATH t BATH L - CLOSET HALL J OPEN STAIRWAY BED RM. BED RM. 300 SFf 220 SFf SITTING - J CLOSET ROOM L - - - - - - - - - - - - - -J SECOND FLOOR BED RM. 400 SFf O SCREENED ENTRY PORCH ENTRY HALL tim FBATH LIVING N DY. ROOM DINING BED RM. ROOM KITCHEN ENTRY 180 SFt ENCLOSED PORCH SUN ROOM FIRST FLOOR FLOOR PLAN 600 SOUTH MAIN STREET, CENTERVILLE, MA Postal CERTIFIED MA o RECEIPT ru Domestic mbil Only � I _n ,- n Certified ail Fee M R'7 -r $ 0 U IO Extra Services B,Fees(dreck ^add roe es pdate) a ❑Return Receipt N dcop� Y N �Q C3 ❑Return Receipt(electronic) Postma[k2 Q ❑Certified Mail Restricted Delive A$ Here co .y�I� O ❑Adutt Signature RequUed _��-Ny [:]Adult Signature Restricted Y /9 8 U�6 C3 Postage / r—1 Tot- 179 $ Prop ID:186050 ro Se f DOUGHERTY, DALE A& .-------------- IC3 5h 192 NMGRET AVE 'r- ai MASHPEE,MA 02649 -------------- Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail ■A unique identifier for your mailplece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS&poshnarked'Certified Mail receipt to the in A record of delivery(including the reciplents retail associate. signature)that is retained by the Postal Service- -Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent Important Reminders: -Adult signature service,which requires the ■You may purchase Certified Mall service with signee to be at least 21 years of age(not Rrst-Class Mail®,Rrst-Class Package Service®, available at retail). or Priority Mail*service. -Adult signature restricted delivery service,which ■Certified Mail service is notavallable for requires the signee to be at least 21 years of age International mail. and provides delivery to the addressee specified, ■Insurance coverage Is notavailable for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retail). of Certified Mall service does not change the ■To ensure that your Certified Mall receipt Is Insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mall items. USPS postmark If you would like a postmark on IN For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mallpiece,you may request Certified Mall Item at a Post Office"'for the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipients signature). of this label,affix R to the malipiece,apply You can request a hardcepy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, complete PS Form 3811.Domestic Return Revelpt attach PS Form 3811 to your mailplece; IMPORTANT:Save this receipt for your reco ft PS Form 3800r April 2015(Reverse)PSN 753o-02-0ooe%7 Postal CERTIFIED MA IL@ RECEIPT r- Domestic m m OFFICIAL LUSE certin � � $ WA F O Extra Services&Fees(check bar Add fee as appropriate) T y9 [I Return Receipt(hardtop» A- O ❑Return Receipt(electronic) VXEE� POsttfie`rk 7 ❑Certified Mall Restricted Delivery N Here- .� O ❑Adult Signature Required $ -p ❑Adult Signature Restricted Del i l!t /Vq 0 Postage co yy M by rl Totir - RuC� r� S Prop ID:186063 cp Ser. ra BARNSTABLE,TOWN OF(REC) 367 MAIN STREET HYANNIS,MA 02601 ------------ I 1 Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail IabeQ. for an electronic return receipt,see a retail ■A unique Identifier for your maflpfece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS&postmarked Certified Mail receipt to the ■A record of delivery(Including the recipient's retail associate. signature)that is retained by the Postal Service- Restricted delivery service,which provides far a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent Important Reminders. Adult signature service,which requires the ■You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service®, available at retaiQ. t or Priority Maii®service. Adult signature restricted delivery service,which ■Certified Mail service is rmtavaliable for requires the signee to be at least 21 years of age International mail. and provides delivery to the addressee specified ■Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retalQ. of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is Insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Pdorfly Mail items. USPS postmark If you would like a postmark on ■For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mallpiece,you may request Certified Mall Item at a Post Office-for the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipients signature). of this label,affix it to the mallpiece,apply You can request a hardoopy return receipt or an appropriate postage,and deposit the mailplece. electronic version.For a hardoopy return receipt, complete PS Form 3811,Domestic Retum Receipt attach PS Form 3811 to your mailplece; IMPORTANT:Save this receipt for yourrellords. PS Form 3800,Apd12015(Reverse)PSN 7530-02-000-9047 U.S. Postal Service TM CERTIFIEb oRECEIPT Domestic Im BE' . ii 7 I.0 Certified Mail Fee $3.50 m 05 = $ Q" M D Fxha Services&.Fees(check box,edd/ee gpp�ygr� ❑Retum Receipt(hardoopy) $ IJ,1(1 1 0 ❑Realm Receipt(electronic) $ I i stmark O 4 ❑Certified Mall Restricted Delivery $ o Here Cij� � ❑Adult signature Required $ + i!,kii! is s i= ❑Adult Signature Restricted Delivery$ $O 06, Postage i0 $ $�iccr n 2 2:, 9 $6.85 Prop ID:186042 a SYLVESTER,CARL C&DEBRA J 17 SWING DRIVE �• �QQ ,,��� y BERKLEY,MA 02779 [F -2 if CertifiedMailservice provides the following benefits: ■A receipt(this portion of the Certified Mail label), for an electronic return receipt see a retail ■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Cerfi ied Mail receipt to the ■A record of delivery(including the recipient's retail associate. signature)that Is retained by the Postal Service' Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or . to the addressee's authorized agent Important Reminders: -Adult signature service,which requires the ■You may purchase Certified Mall service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service®, „ available at retai(i. or Priority Mail®service. Adult signature restricted delivery service,which. ■Certified Mail service is notavailable for ' requires the signee to be at least 21 years of age International mail. 'r and provides delivery to the addressee specified ■Insurance coverage is notavailable for purchase, by name,or to the addressee's authorized agent with Certified Mall service.However,the purchase (not available at retai). of Certified Mail service does not change the' ■To ensure that your Certified Mail receipt Is Insurance coverage automatically Included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. LISPS postmark.H you would like a postmark on ■for an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office'for the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mall receipt,detach the barcoded portion of delivery(including the recipients signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, complete PS Form 3811,DomadcRemm Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT:Save Nds receipt for your record& Ps Form 3800,Apra 2oi6(Reverse)PSN 763"2-0eP8047 r,9 Domestic Mail Only V) _a For delivery information,visit our website at www.usps.com". co Certified Mail Fee = $ R T Fy9 L-J Extra Services&Fees(check box;add tee as appropriate) M r) ❑Return Receipt(herdoopy) $ C Q7 C3 ❑Return Receipt lel�tronlcl pp —gry� FC3 ❑Certified Mall Restricted DeIN/"N!,$ Here-s 9 Q ❑Adult Signature Required $ No ❑Adult Signature Restricted DelWery$ G! C3 Postage co btiL m $ _ g;S r--9 Total i 7 $ Prop ID:186051 lCD Sent' �r-9 MAVROGIANNIS,MARY IM1 so- 615 SOUTH MAIN ST CENTERVILLE,MA 02632 --------- CertifiedMailservice provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic retum receipt,see a retail ■A unique Identifier for your mallpfece. associate for assistance.To receive a duplicate ■Bectronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the ■A record of delivery pncluding the recipient's retail associate. signature)that Is retained by the Postal Service'" Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent Important Reminders. Adult signature service,which requires the ■You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service®, available at retaiq. or Priority Mail®service. Adult signature restricted delivery service,which ■Certified Mall service Is not available for requires the signee to be at least 21 years of age International mail. and provides delivery to the addressee specified ■Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent with Certified Mall service.However,the purchase (not available at retail). of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is Insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail hems. USPS postmark.If you would like a postmark on ■For an additional fee,and with a proper this Certified Mail receipt,please present your . endorsement on the matlpiece,you may request Certified Mail Item at a Post Office'for the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the reclpierd's signature). of this label,affix it to the mailplece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailplece.' electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Retum Receipt attach PS Form 3811 to your mailplece; IMPORTAffP Save tlrth receipt for your recoNs Ps Form 3800,April 2oi6(Reverse)PSN 7630-02-000-0047 Postal CERTIFIED o RECEIPT O Domestic Wil Only ru -13 o m Aa $rtifled Mail F �� t Aq y O box,add Services&Fees(check b add fee as appropriate) rTrl F'Q ❑Retum Receipt,(hardoopy) $ `, Ep O ❑Retum Receipt(electronic) $ N POStrRark 0 ❑ Restricted Mall Rescted Delivery "O Herey > 0 ❑Adult Signature Required $ NO �4 ❑Adult signature Restricted Delivery$ (� O Postage -3-i T r•, 8.� r9 $ Prop ID:186045 a BOURELL, DAVID o 38 PILLOW ROAD `""' ____-"- r AUSTIN, TX 78745 ------------------ i I CertifiedMailservice provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail ■A unique identifier for your mailpiece. associate for assistance.To.receive a duplicate ■Sectronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarkeO Certified Mail receipt to the ■A record of delivery(including the recipient's retail associate. signature)that Is retained by the Postal Service- -Restricted delivery service,whlcNprovides for a specified period. delivery to the addressee specified by name,of to the addressee's authorized agent lmporbritReminders. Adult signature service,which requires the ■You may purchase Certified Mall service with signee to be at least 21 years of age(not Rrst-Class Mail®,Rrst-Class Package Service®, available at retail). or Priority Mali®service. Adult signature restricted delivery service,which ■Certified Mail service is rrot available for requires the signee to be at least 21 years of age International mail. and provides delivery to the addressee specified ■Insurance coverage is rrotavailable for purchase by name,or to the addressee's authorized agent with Certified Mall service.However,the purchase (not available at retail). of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is insurance coverage automatically Included with accepted as legal proof of mailing,it should bear a, certain Priority Mail items. USPS postmark.If you would like a postmark on ■For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the matlpiece,you may request Certified Mail Item at a Post Office"'for the following services: postmarking.If you don't need a postmark on this Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(Including the recipients signature). of this label,affix it to the maliplece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mallpiece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt;attach PS Form 3811 to your maliplece; IMPORTAN11 Save this receipt for your record& PS Form 3800,Apni mis(Reverse)PSN 7530.02-000.9047 Postal CERTIFIED o RECEIPT u1 Domestic Mail Only C� -0 For delivery information,visit our website at www.usps.comll. m `0 CertifiCO e Ma F $ 9� C] Extra Services&Fees(check tee as app7pr 7r ❑Retunn Receipt(hardcoPy) $ a 0 .❑Return Receipt(electronic) $ t%1 POstrt� Cl'0 ❑Certified Mall Restricted Delty" Here A ❑Adult Signature Required G 0 ❑Adult Signature Restricted Delivery 6' 0 Postage A $ b M $ r:1 Total 1-9 $ Prop ID:186043 ca Sent � HAZLETT,THOMAS J ESTATE O o S9 e" 600 SOUTH MAIN STREET ---------- N etn CENTERVILLE,MA 02632 Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail ■A unique Identifier for your mallplece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no.addidonal fee,present this delivery. USPSab-postmarked Certified Mail receipt to the ■A record of delivery(including the recipients retail associate. signature)that is retained by the Postal Service' Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent Important Reminders. Adult signature service,which requires the ■You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service®, available at retail). or Priority Mail®service. Adult signature restricted delivery service,which ■Certified Mail service is notavailable for requires the signee to be at least 21 years of age International mail. and provides delivery to the addressee specified ■Insurance coverage Is notavallable for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retall). of Certified Mail service does not change the ■To ensure that your Certified Mail receipt Is Insurance coverage automatically Included with accepted as legal proof of mailing,it should bear a certain Priority Mail Hems. USPS postmark If you would like a postmark on ■For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office"'for the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.` electronic version.For a hardcopy return receipt, e complete PS Form 3811,Domestic Return Receipt attach PS Form 3811 to your mallplece; IMPORTAHI:Save this receipt for your records. Ps Form 3800,Apra 2016(Reverse)PSN 7530-02-0009047 �EN•;:R: COMPLETE THIS SECTIOly, COMPLETE • ON DELIVERY ■ Com� hA ems 1,2i and 3. A. Sig re ■ Print your name and address on the reverse X ❑Agent so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, B• Received by(Pri led Name) Date of Delivery or on the front if space permits. I 'A1\�1 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes - W ----- - If YES,enter delivery address below: ❑-No Prop ID`.186045 'C- ���1 J I BOURELL,DAVID 38 PILLOW ROAD f /q AUSTIN,TX 78745 I + I �—-----�- --� "3. Service Type ❑'priority Mail Express® Il I'I'I'I I'll l�I I Ii III'I l�l l III l i III'I III I I III ❑Adult Signature ❑Registered 11 Mai❑Adult Signature Restricted Delivery ❑Registered Maill Restricted Certified Maii® Delivery 9590 9402 4784 8344 0997 98 ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise 2. Article Number(Transfer from service laball—_--- ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation7m w 11R.4 { ❑Insured Mail ❑Signature Confirmation 018 Q Q O_0 R.4 8 6 3 6 2 O f;,s_ III ❑Insured Mail Restricted Delivery Restricted Delivery _ (over$500) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt USIG# First-Class Mail Postage&Fees Paid USPS Permit No.G-10 9590 9402 4784 8344 0997 98 ! I United States •Sender:Please print your name,address,and ZIP+4®in this box* Postal Service Engineering Works, Inc. ! 12 West Crossfield Road ! I Forestdale, MA 02644 lliblilll III fill]IIIrl�lif� �3 SENDER: COMPLETETHIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3. � ature ■ Print your name and address on the reverse ❑Agent so that we can return the card to you. El Addressee ■ Attach this card to the back of the mailpiece, Re ' ed by(Prin Name) C, Date of Delivery or on the front if space permits. C 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes - - - If YES,enter delivery address below: ❑ No Prop ID:186050 DOUGHERTY, DALE A& + )0 SD, l x I 192 NINIGRET AVE ) I MASHPEE, MA 0262649AW �-- - —— - - 3. Service T ejjj----� YP ❑Priority Mail Express® ❑Adult Signature ❑Registered Mal T"' ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted rtified Mail® Delivery 9590 9402 4784 8344 0998 04 ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise- 2._Article_Number_LTransfer from service label ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTm — "'nsured Mail ❑Signature Confirmation 7,D 1,8 113 0 0 0 D Q 'D.4 8 6 3 6`8 2 t; tsured Mail Restricted Delivery Restricted Delivery over$500) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt USPS TRACKNG# E` I First-Class Mail Postage&Fees Paid USPS Permit No.G-10 I I 9590 9402 4784 8344 0998 04 United States •Sender:Please print your name,address,and ZIP+4®in this box• Postal Service Engineering Works, Inc. I 12 West Crossfield Road I ; Forestdale, MA 02644 ' I i V I SECTIONCOMPLETE,THIS ON DELIVERY ■ Complete items 1,2,and 3. A Signature ■ Print your name and address on the reverse X ❑Agent so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, B. Received by(Prince e) C. Date of Delivery or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 17 ❑Yes If YES,enter delivery address below: ❑No Prop[D:186042 SYLVESTER,CARL C& DEBRA J 17 SWING DRIVE BERKLEY,,MA 02779 - 3. Service Type ❑Priority Mail Express® II�'IIIII IIII ICI I II III it('i I III I I'I I II I I II III Adult u Restricted Delivery ❑ e erred Ma I Restricted$ ertif ed Ma il@D 9590 9402 4784 8344 0998 42 0 Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise- 7 ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTm 2�. AttlCle NUmb2r.(TlanSfef_flCm SeNiCe label) __ �. ---,ured Mail ❑Signature Confirmation 7 018 :113�; 0 Q 0.0 0 4.8 6 : 3 6 9 4 } lured Mail Restricted Delivery Restricted Delivery PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt - - i I I USv. First-Class Mail Postage&Fees Paid USPS Permit No.G-10 I 9590 9402 4784 8344 0998 42 I I United States •Sender:Please print your name,address,and ZIP+4®in this box" Postal Service _ I Engineering works, Inc. 12 West Crossfield Road Forestdale, MA 02644 I I b)j,lilt 11i"I'li►ilirr►Ili ir�JrlllrlIrllrtrrirlllllrrrllir�r -: I - 1 I i SENDER- • •N COMPLETE THIS SECTIONON DELIVERY ■ Complete items 1,2,and 3. A. Si nature ■ Print your name and address on the reverse X ❑Agent so that we can return the card to.you. h 00 1w ❑Addressee ■ Attach this card to the back of the mailpiece, Received by(Printed Name) C. Date of Delivery or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes u If YES,enter delivery address below: ❑ No Prop ID:186063 BARNSTABLE,TOWN OF(REQ 63, l0 367 MAIN STREET HYANNIS,MA 02601 7i r 3. Service Type 0 Priority Mail Express® II I IIII'I I'll III I Il III II II I l III l(III l II I II I I III ❑Adult Signature ❑Registered MailT^ ❑J Adult Signature Restricted Delivery ❑Registered Mail Restricted 4�Certified 9590 9402 4784 8344 0997 81 ❑Certified Mai Restricted Delivery . ❑Retlu n Receipt for ❑Collect on Delivery Merchandise _2._Article NUmber,(Tragster from Service label)_+ ❑Collect on Delivery Restricted Delivery 13 Signature ConfirmatlonTM Insured Mail O Signature Confirmation 7 018 t t1'13 0 . 0 0 0'.:0;4 8.6 3 6:3 7; I Insured Mail Restricted Delivery Restricted Delivery I(over$500) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt I LISPS TRACKLN„G#, � r.Y.w•: �'�''s First-Class Mail Postage&Fees Paid USPS Permit No.G-10 9590 9402 4784 8344 0997 81 United States •Sender:Please print your name,address,and ZIP+4®in this box• Postal Service I Engineering works, Inc. 12 West Crossfield Road I Forestdale, MA 02644 j I z >:� Ilill,:i,.�s.���.aa.fillI-IiII111jui1iJ.111{lpji11'l,11,11 Milli IJill I I �Y 1 COMPLETE •N COMPLETE THIS SECTIONON DELIVERY ■ Cornpleteritems 1,2,and 3. A. Signature ■ Print your:n ' p and address on the reverse X ,,/ Y42�,�� �4ddressee so that we:c I return the card to.you. ,p ■ Attach this'card to the back of the mailpiece, B. Received by(Printed Name) ate f Delivery or on the front if space permits. delivery address different from item ? Yes YES,enter delivery address belo ❑No CHALLEN, ROGER W& KAREN-W Za:QAK HILL RD FA'VILLE, MA 01745 i II i IIIIII IIII III I II II II I I I illli --u��ryice Type II ❑Priority Mail press®IIIIIIII I I I ❑Adult Signature ❑Registered MaiITM ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted 9590 9402 1933 6123 1779 99 cvified Mail® Delivery Certified Mail Restricted Delivery VGium Receipt for ❑Collect on Delivery Merchandise 2. Article Number(transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationT • .---. ; ; = I ❑Signature Confirmation 7 015 =17 3 0' 0 g p 1 4 98 8 0 2 44 1Restricted Delivery Restricted Delivery PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt J USPskme LFa Mail Fees Paid G-10 9590 9402 A�6`•U23 1779 99 United States •Sender:Please print your name,address,and ZIP+4®in this box* ��stal Service -- i Town of Barnstable Health Division 200 Main Street k Hyannis, MA 02601 I I i'1�=�!!1'�I31�'Il}l4ii3jj}jl��jl,Ill'IIll1�Illi;,l1lilill,�ili,li! I boo Postal CERTIFIED o RECEIPT Domestic Mail OnlyJ X For delivery information,visit our website at www.usps.comO. $rtifl 3iltFee (f a RFC' SeMtxS&Fees(check har,add lee epprop`tie 'q� ❑ReturnReceipt,(hardoop» $ C, lT-7 CI ❑Ratum Receipt(electronic) $ to Postmark' C3 ❑Certified Mail Restricted Dell $ "d Here Adult Signature Required // T/e�}',lyr N tiq � ❑ ❑Adult Signature Resticted C �? O Postage M $ r9 Total Posta—...A� r $ Cc) St Prop ID:186039003 o LEARY FP LLC __ '______ 17 BAYSIDE LANE Bii KINGSTON,MA 02364 .______________ Certified Mailserviceprovides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail ■A unique identifier for your-mailpiece. associate for assistance.Toseceive a duplicate ■Sectmnic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the ■A record of delivery(Including the reclpient's retail associate. signature)that Is retained by the Postal Service' Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent Important Reminders. Adult signature service,which requires the ■You may purchase Certified Mall service with signee to be at least 21 years of age(not Rrst-Class Mail®,First-Class Package Service®, available at retail). or Priority Mail®service. Adult signature restricted delivery service,which ■Certified Mail service is notavailable for requires the signee to be at least 21 years of age International mall. and provides delivery to the addressee specified ■Insurance coverage Is notavallabie for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retail). of Certified Mall service does not change the ■To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. USPS postmark If you would like a postmark on ■For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mall item at a Post Office'for the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mall.receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailplece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT:Save this recelpt for your raced. Ps Form 3800,April 2015(Reverse)PSN 7530.02-000.9047 ' Engineering works, Inc. k 12 West Crossfield Road USA USA$67o�a Forestdale, MA 02644 5 - r F 7018 1130 0000f0486^3804 - g USA y USA 5c Sc - - t F Prop ID:186043 E HAZLETT,THOMAS J EST- -C'' g 600 SOUTH MAIN STREET t �jy CENTERVILLE,MA 02632r- y 1 1• ..O` A+=��y�� r FiP ..� i ib e V m?L.IN 1.! d lF�-y ri AZLET�. � ' Hi31�4.Ad i i 3-7-::. 'OYSTER COVE DR Act ,.•. ��...{ RETURNA TO SENDER . �.. � iF~t^t 1• •«It•�• t... ��.� �� �a,i. •��: I ap. �F�a.���.���a� a g ga,ae. lalal �� �i�P ~( / 35tai� �I�.�a,�jl,�.a, .ts,.�.,�.s l..' �• .�.p:¢.' .�. ....a �,Y,,,. 1i a# fl 1 4 . • • . . . DELIVERY I I ■ Complete items 1,2,and 3. A. Signature g I I ■ Print your name and address on the reverse `' ❑Agent 'so that we can return the card.to you. X ❑Addressee � ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery i or on the front if space permits. 1-_Artir..le_Addressed to:, - D. Is delivery address different from item 1? ❑Yes i If YES,enter delivery address below: ❑No 1 11 Prop ID:186043 1 I HAZLETT,THOMAS J ESTATE OF i 1, 600 SOUTH MAIN STREET I, CENTERVILLE,MA 02632 I 3.II Service Type ❑Priority Mail Express®I IIIIII IIII III I II III II II I k III I I II I III II I III ❑Adult Signature ❑Registered Mail ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted I 2,certified Mail® Delivery I 1 9590 9402 4784 8344 0996 44 ❑Certified Mail Restricted Delivery ❑Return Receipt for I ❑Collect on Delivery Merchandise- 2._Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation* 'lair ❑Signature Confirmation i I 7 018 1130 0000 0486 3804 1 Restricted Delivery Restricted Delivery j PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt 1 ! Engineering Works, Inc. 12 West Crossfield Road, Forestdale, MA 02644 Tel/Fax (508) 477-5313 February 21, 2019 Re: 600 South Main St, Centerville, MA (Assessors Map 186, Parcel 043) Construction Title 5 Septic System Dear Sir/Mam: Please be advised that a Request for Determination of Applicability (RDA) has been filed with the Barnstable Conservation Commission for the proposed installation of a septic system upgrade being proposed within their jurisdiction. A complete septic system is being proposed, to serve the facility, that will satisfy the requirements of maximum feasible compliance. The application and plans are available for review at the Barnstable Health Department, 200 Main Street, Hyannis, MA, Monday through Friday (excluding holidays) from 8:30 a.m. to 4:30 p.m. A public hearing will be held, to discuss the proposed work, on Tuesday, March 5, 2019, at 6:30 p.m. The hearing will be held at the following location: Town Hall Hearing Room Second Floor 367 Main Street Hyannis, MA ncerely, Peter T. McEntee P.E. Engineering Works, Inc. 12 West Crossfield Road, Forestdale, MA 02644 Tel/Fax (508) 477-5313 February 4, 2019 Barnstable Board of Health 200 Main Street Hyannis, MA 02601 Re: 600 South Main Street, Centerville, MA, (Parcel ID: 186-043), Title 5 Septic Upgrade Representation Authorization Dear Board members: hereby authorize Peter McEntee PE to represent my interests for the subject project. Paul Waldmiller— Personal Representative RZLL.I T 31fz142, T Z -z6� -Z�ig9 �f LETTERS OF AUTHORITY FOR Docket No. Commonwealth of Massachusetts BA17P1204EA The Trial Court PERSONAL REPRESENTATIVE Probate and Family Court Barnstable Probate and Family Court Estate of: 3195 Main Street Thomas J Hazlett PO Box 346 Barnstable, MA 02630 Date of Death: 06/02l2017 (508)375-6710 To: Paul Waldmiller 11617 Shoshone Way Westminster,CO 80030 You have been appointed and qualified as Personal Representative in ❑ Supervised ❑X Unsupervised administration of this estate on August 31, 2017 ate These letters are proof of your authority to act pursuant to G. L. c. 19013, except for the following restrictions if any: ❑ Pursuant to G. L. c. 19013, §3-108(4), the Personal Representative shall have no right to possess estate assets as provided in§ 3-709 beyond that necessary to confirm title thereto in the successors to the estate and claims, other than expenses of administration, if any, shall not be paid. ❑ The Personal Representative was appointed before March 31, 2012 as Executor or Administrator of the estate. (Do Not Write Below This Line-For Court Use Only) z;•;ittt•t�ifr , CETyII ,T�ff I certify that it appears by the records of this Court tha `rf ap• i`tuns in full force and effect. IN TESTIMONY WHEREOF I have hereunto set my hand and affixed Date September 8, 2017 • Anastasia'W Perrino, Register of Probate MPC 751 (4/15/16) TRANS, NO.: CITY/TOWN: 0.1��ts-j-c.�vle _ APPLICANT: s l e cry 7-L akrc1 Pct-I,"-� ��a� WOAJ ADDRESS: (C&C DESIGN FLOW: eQ gpd RE IEWED BY: /� bv►GCS 1�e �� DATE: N/A OK NO e l GE RAL. Legal boundaries denote [310 CMR 15.220(4),(a)]� t✓ Stre t, Lot, tax parcel number and lot number noted on plan [3.10 CMR 15.220(4)(u)] Lo:c s Provided [310 C 15.2204(t) Plan proper scale? (I"— 0' for plot plans, 1."—20' or fewer for com onents) [310 CMR 15.220(4)] Easernents shown [310 CMR 15.220:(4,(b)] v� System located totally or. lot served [310 CMR 15.405(1)(a) for ✓ upgrades]-if not, a varia ace is required 310 CMR 15.412(4)] Location of impervious surfaces (driveways,parking areas etc.) ✓ 1310 CMR 15.220(4)(d)] Localtionall buildings existing and proposed 310 CMR 15.2 0(4)(c)] Loca ion and dimension si of system components and reserve areas, [310 CMR 15.220(4 .(e)] System Calculations 31 CMR 15.220(4)(f)] daily flow septic tank ca aci (required and provided) ✓ soil absorption s stemm (re uired andprovided) _ whether system designed for garbage grinder Nor$ arrow [310 CMR f 5.220(4)(g)] Existing and pro used contours 310 CMR 15.22.0(4 O � Location and log of: deep observation :holes (existing grade el. on f each test) [310 CMR 15.220(4)(h)] v Nam s of soil evaluator and BOH representative [310 CMR. / 15.2 0(4)(h and i Loca ion and date of percolation tests (performed at proper elevation?) 310 CMR I5.220 4 i)] Percolation test results i atch loading rate? 310 CMR 15.242 Certi rcation statement b Soil Evaluator [310 CMR 15.220(4)0)] Obse ed and Adjusted groundwater(method for adjustment giver or indicated) [31.0 MR 15.103(3) and 310 CMR 15.2 0(4) n ] Addr ss Sheet 1. of 7 I N/A OIL NO Location of every water�upply, public and.private, [310 CMR 15.2 04) k ] _ within 400 feet of tyre proposed system location in the case of face water supplied,and gravel packed public water supply within 250 feet of the proposed s stem location in the case within 150 feet of t e proposed system location in the case of private water supply r ells Location of all surface waters and wetlands located up to 100 ft. beyond setbacks listed in 310 CMR 15.211 and any catch basins f j locat d within 50 ft. [310 CMR 15.220(4)(1)] Watc r lines and other subsurface utilities located [310 CMR 15.2 0(4)(m)] (if water line cross see 310 CMR 15.211(1)[1]) Profile of system showing invert elevations of all.system components and the bottpm of the SAS [310 CMR 15.220(4)(o) i Stamp of designer [310 (MR 15.220 1 and 310 CMR 15.220(2)] Starnp of Registered Land Surveyor(required if construction activities within 5 ft. of lot line) [310 CMR 15.220 3 ] ✓ _ Test Holes adequate (tw in each of the primary and reserve unle s trenches as permit�ted in 310 CMR 15.102(2) or as a roved for an u rade lrnder LUA at 31:0 CMR 1.5.405(1)(k ] Test role adequate to de onstrate four feet of suitable material? _ [310 CMR 15.103(4)] Test Ioles adequate to confirm adequate groundwater separation? 310 ICMR 15.103 3)] .Benchmark within 50-751 of system [310 CMR 15.2120(4)(g)] _ Materials specifications noted? [various sections of 310 CMR ✓ j 15,0001 Syst m components not> 36" deep (unless Local Upgrade Approval or LUA re uested) [310 CMR 15.405(1(b)] i i i i i i i i I i i Addrc ss Sheet 2 df 7 i I N/A OK NO SE TIC TANK j Size OK? 310 CMR 15.223(1)] _ ✓ Inlel tee located ten inches below flow line 31.0 CMR. 15.227(6)] Outlet tee 14" or 1.4" + 5" per foot for increase ft depth [31.0 CMR 15.227(6)] _ Outlet tee with gas baffle or approved filter 310 CMR. 15.227(4)] ✓ Note regarding installation on stable comFacted base [310 CMR 15.2 $(1 ] i Sep ration between inlet and outlet tees (no less than liquid de t [310 CMR 15.227(2)] Inle Outlet elevations at least 12" above high groundwater (exc pt as described 310 CMR 15.227(5)) or permitted for upgt ades under LUA [3-0 C.MR 15.405(1)(k)] Min um cover 9" (Tanis buried more than:9" must have risers on a 1 openings and on the d-box) [310 CMR 15.,22.28(1) and 310 C 15.232(3)( ] Thr e access covers (inlet and outlet must be 20" or greater) - mid le access at least 8'j (by 7/07) [310 CMR 15.228(2)] Access to within 6 " of rade - one port for systems<I000gpd, ✓ two fors stems>1000 gpd [310 CMR 15.228(2)] All t-grade covers se cu ed to unauthorized access? [310 CMR ✓ I 15.2 8(2)] > l C ft from building fo ndation [310 CMR 15..211 j _ ✓ Buoyancy calculation R hired/Done 310 CMR .15.221 8 H-20 Where appropriate.'! 310 CMR 15,226(3)] Set acks from resources, [310 CMR 15.211] Mu fi`Compartment�a}�ks, Required when other th n single-family dwelling or flow>1.000 d [310 CMR 15.223 )(b Fnsi compartment 2000 daily flow; Second compartment 100% - dailyflow 1310 CMR 15.224 2 and 3) _ "U" pipe through or ove baffle, outlet of each.compartment with � as baffle or approved .,ter [310 CMR 15.224(4)] _ i i I Addi ess Sheet 3!of 7 I i .f N/A OK NO � .. 'U Loc ted at least ten feet om any water line? [310 CMR 15.2 2(2)] Disposal piping at least 1 8" below water line (when water and sew r cross, see 310 CI R 15721l(1)[1. ) Clea outs re uired/ rov ded ? 310 MR15.222-MI.— Thru st blocks specified i, force mains? 31.0 CMR 15.221(6)(c Slop of sewer line not less than 0.01 (1/8"/ft) 0.02 preferable [310 CMR 15.222(6)] _ Proper pitch on all runs? (.005 within gravity-distributed trenches andbeds) [310 CMR 15.,251(9) and 310 CMR 15.252(2)(c)] Siphon problem/ (leachfjeld below pump chamber End a s or vent manifold specified? Size and orientation of discharge holes specified? (not smaller I. than 3/8" not larger than 5/8") [310 CMR 15.251(8) and 310 CMR 15.252(2)(h)] _ Materials specified (310 CMR 15.251(5)specifies various pipe typesallowed DIS ,RTBUTION BOX;, _ Stab e compacted base [' 10 CMR 15.221(2) and.310 CMR 15.2 2(2)(a�] Spla h plate or baffle tee,required.on inlet/provided? (when / pressure sewer to d-box or steep pitch of gravity sewer) [310 C 15.323(3)(a)] Rise if deeper than 9" 10 CMR 15.232(3)(f)] Inside minimum dimension 12" [3.1.0 CMR 15.232(2)(b)] Min um sump 6" [310 CMR15.232(3)(e)] Wat rtight cover if<20C Ogpd); waterproof manhole if>2000gpd [310 CMR 15.232(3)(d)] 77 P GIlYII3FRS .77 Cap city (emergency storage above working=desig.n flow)? [310 V CM 231(2 Pro der setbacks [310 CMR 15.211 (same as.septic tanks)] ✓ �. �is zj C`i— Wat rtight 20-in miniun access manhole at least 20" MUST BE TO GRADE 310 CMR 15,231(5)] Service components acc ssible (not too deep with piping, disconnects accessible) Ala floats - alarm on circuit separate from pumps specified? Exceeds two units must.have two pumps operating in lead-lag mo . [310 CMR 15.23 j 6 and (8)] Stable Compacted Base 310 CMR 15.221(2)] Buo yancy calculations needed? Provided? L310 CMR 15,221(8)] I Ad ch ess Sheet 4 o.f 7 i N/A OK NO SOT ALBS, �R ',TI01Y`SYSVISr( S); �+1�ERAL_ Calculations correct? 4 fe t of naturally oce mg material demonstrated? [310 CMR 15.2 0(1)] _ , Required separation to 'oundwater? 310 CMR 15,212) Aggregate specified as double washed 310 CMR 15.247(2)] System Venting required/provided? (system under driveway or >36' deep) [310 CMR 11.241 _ Inspection ports specifie and within 3"Trial grade? [310 CMR 15.2 0(13)] Breakout requirements met? (No violation of breakout elevation within 15 ft of SAS unlei s barrier) [310 CMR 15.211(1)[4] and Gui ance Document] I GA.�FII�IE�,I'=ITS,CT1[.;A;I�IF3��2S,°310=CMR 15 253 - � � Chambers and Gal, in tr nch configuration supplied with inlet eve 20 ft. [310 CMR 15.253(6)) Eacl structure with one nspection manhole (if>2000 gpd roust be tc grade) 310 CMR 15,253 2 Ag e ate 1' minimum- ' 'maximum. 310 CMR 1.5.253(.l)(b) _ 2' si ewall credit maxim.4m. [310 CMR 15,2.53 1)(a)] In b d configuration, inl t evea 40 sq. ft [310 CMR 15.253 6 J T NC�IES 3�O�C1�5.251 ,; Wid h 2'minimum 3'maximum [310 CMR 15.251(1)(b) 100 eet-maximum ten.th 310 CMR 15.251(1)(a)] Min um separation 2x'effective depth or width whichever Brea er 3x if reserve between trenches) [310 CMR 251(1)(d) r Situ'led along contours [310 CMR 15.251(2) Brea out OK? [310 CM,Z 15.211(1)[4] and Guidance Document] BE k,,SAS (1V�aximu� s�z�4of bed,,��'z#xe1�jSUDO gPd), _ I' mini num 2 distribution lines [310 CMR 15.252(2)(a)] Max mum separation between lines 6' [310 CM R15.252(2 (d)] L/ _ Max mum separation between.lines and outside of bed 4' [310 C 15.252(2)(e)] Ag egate depth below discharge pipes 6" minimum, 12" l max mum. [310 CMR 15.252(2)( )] Seperation between beds 10' minimum. [310 CMR 15.2522 ] c� Bottom area used in calci lations onl [310 CMR i Addr ss Sheet 5 pf 7 r 1 1 N/A OK. NO — Pre sure Dosed System ? Provided Bump and piping / calc.ilations as required [310 CMR 15.220(4)(t)] Pressure dosing required on all systems>2000gpd or alternative syst ms under remedial approval [310 CMR 15.254(2) and I/A Re edial Use Approvals] If u ed in gravelless sys em -make sure jet is directed as'n:ot to scot r soil interface [Guidance Document] Insp ctions once per year(systems< 2000 gpd) or quarterly (>2 00 dgood to note on plan [310 CMR 15.254(2)(d)] Cora truction infll - Did the plan specify that the fill shall meet I the pecification of 310 CMR 15.255(3)? j Impervious barrier and/.r retaining wall ? [Guidance Document] Impervious barrier must be supervised by desi ner [310 CMR 15.7' stallation 5(2)(b)] _ Retaining wall must be designed by Registered Professional Eng.neer [310 CMR 15.�55(2 —Side slope not exceed 3:1 ? 310 CMR 15.255(2)] w Breakout requirements met? [310 CMR 15.252(2) and Gui ance Document] t least 5 ft. from impervious barrier to edge of SAS (10 ft. reco ended [310 CMR 15.255 2 (e Gras heck DEP A p rov;al.letters for credits and desi n conditions f used with pressure dosing do not allow pressure discharge � to s our soil interface Alte nat�ye Septicten[I/fl Approwul Tetersj_ r " Was DEP Approva Letter provided and/or have you nevi wed the letter for c nditions? Is the technology being properly applied and does it meet all DE Approval Conditions? Is there a note on t e plan regarding the requirement for perpr,tuat maintenance a' •eernent? Any alarms involved on separate circuits Did the applicant submit an operation and maintenance man al? Hasa licant subr0itted a copy of a maintenance Yar ance�_,- Are the variances 1'Isted on the plan ? [310 CMR 15.220 (4)( )] RLS Stamp necessry on plan if a component is withui five feet of property line [31 Q CMR 15.412(4)] ` New construction o'r increased flow proposed- [Refer to 310 p CM 15.414l Ad ss She 6.of 7 i NIA OK NO Sa<, p ` imp,e Is the system in a Desipmated Nitrogen Sensitive Area (Zone II for a pulylic supply well)? [310 CMR 15.214, 310 CMR 15,2.1.5 and 310 CMR 15.216 - also refer to Policy regarding upgrades of such existing systems] Is the system proposed o the same lot as served by private well. ? 310 CMR 15,214(2)] _ Are he nitrogen loads p oposed in compliance? [310 CMR 15.2 6(1 1V�r�;ella�eorss _ Pum in to septic tank ? 310 CMR 15.229] Shar d S stem [310 CMR 15.290] i I Addr ss Sheet 7 6f 7 � I � I I I BATH BATH I - CLOSET HALL � � L OPEN STAIRWAY BED RM. BED RM. 300 SFf 220 SFf SITTING - J CLOSET ROOM I - - - - - - - - - - SECOND FLOOR BED RM. 400 SFf 0 N m SCREENED ENTRY PORCH ENTRY HALL VENTrRY ATLIVING DROOM DININGBED RM. ROOM KITCHEN 180 SFf ENCLOSED PORCH SUN ROOM FIRST FLOOR FLOOR PLAN 600 SOUTH MAIN STREET, CENTERVILLE, MA Town of Barnstable Geographic Information System February 7,2019 186079 186048#556 #568 186047 206069 #562 9531 ® 186046 206071 #674 #646 186092 #0 186078 #571 58 :'•::�••18604. 0 CD 206 095 ee #16 186042 C 186039002 At 930, 186063"-a 186062 9627 ��Q► 186052 186039001 1 #22 # #642 186061(133 0 Feet 186040 186060 #833 #666 #31 pj DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:186 Parcel:043 Board of Health Selected Parcel W§ boundary determination or regulatory interpretation. Enlargements beyond a scale of Abutter List Type-Direct abutters(no set distance)and the properties located ; 1"=100'may not meet established map accuracy standards. The parcel lines on this map Abutters CO are only graphic representations of Assessor's tax parcels. They are not true property across the street. boundaries and do not represent accurate relationships to physical features on the map Buffersuch as building locations. { Co ZW12019 w AbutterReport Board of Health Abutter List for Map & Parcel(s): '186043' Direct abutters (no set distance) and the properties located across the street. Total Count: 7J Close __-------- _ Map&Parcel Ovanerl owww0 Addr€,s's' 186039003 LEARY FP LLC 17 BAYSIDE LANE KINGSTON, MA 30872/82 02364 186042 SYLVESTER,CARL 17 SWING DRIVE BERKLEY,MA 30001/157 C &DEBRA J 02779 186043 HAZLETT,THOMAS 600 SOUTH MAIN CENTERVILLE, 31026/36 1 ESTATE OF STREET MA 02632 186045 BOURELL,DAVID 38 PILLOW ROAD AUSTIN,TX 31393/227 78745 U HDDALE ��,,., ,.....__ AVE MASH 02649 E,MA 186050 A & OUGHER 192 INIGRET 11182/63 t DAVID A 02649 MAVROGIANNIS, 615 SOUTH MAIN CENTERVILLE, 186051 MARY ST MA 02632 C152156 186063 BARNSTABLE, 367 MAIN STREET HYANNIS,MA 324/4 TOWN OF (REC) 02601 This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters. If a certified list of abutters isrequired,contact the Assessing Division to have thislist certified.The owner and addressdata on thislist isfrom the Town of Barnstable Assessors database asof 2/7/2019 . http://maps.townofbarnstable.us/arcims/appgeoapp/AbutterReport.aspC?type=BOH 1/1 I Engineering Works, Inc. 12 West Crossfield Road, Forestdale; MA 02644 Tel/Fax (508) 477-5313 February 7, 2019 Re: 600 South Main Street, Centerville, MA (Assessors Map 186, Parcel 043) Construction Title 5 Septic System Dear Sir/Mam: Please be advised that an application for variances from the Massachusetts Department of Environmental Protection, Title 5, and Local Regulations have been submitted to the Barnstable Health Department for approval. The following variances are being requested: 310 CMR 15.405(t) — CONTENTS OF LOCAL UPGRADE APPROVAL 1 . A 25' variance, septic tank to coastal bank, for a 0' setback. 2. A 25' variance, pump chamber to coastal bank, for a 0' setback. 3. A 50' variance, S.A.S. to coastal bank, for a 0' setback. • LOCAL REGULATION, Chapter 360, Article 1 — Setback Requirements 4. A 100' variance, septic tank to coastal bank, for a 0' setback. 5. A 1003variance, pump chamber to coastal bank, for a 0' setback. 6. An 100' variance, S.A.S. to coastal bank, for a 0' setback. 7. A 38' variance, septic tank to vegetated wetland, for a 12' setback. 8. A 41' variance, pump chamber to vegetated wetland, for a 59' setback. 9. A 42' variance, S.A.S. to vegetated.wetland, for a 58' setback. The application and plans are available for review at the Barnstable Health Department, 200 Main Street, Hyannis, MA, Monday through Friday (excluding holidays) from 8:30 a.m. to 4:30 p.m. A public hearing will be held, to discuss the proposed work, on Tuesday, February 26, 2019, at 3:00 p.m. The hearing will be held at the following location: Town Hall Hearing Room Second Floor 367 Main Street Hyannis, MA Sincerely, P ter McEntee PE S Town of Barnstable P# ,xly c Department of Regulatory Services Public Health Division Date�Rx � _J3 200 Main Street,Hyannis MA 02601 Date Scheduled f � Time b Fee Pd. 0 0 k G o Soil Suitability A.ssessinent for Se zs osal Performed By: 1•t C f' S C ("-c Witnessed By: Location Address LOCATION & GENERAL INFORMATION � P�,tr✓� ��'�-�-� t`� �C +/I �� Owner's Name ��d its Ct,s Ceti-f' v 11-9- Address 600 Assessor'sMap/Parcel: 91. C_,Qvl �1-eV 1!£ jl/kl / Q (. _0 � > Engincer.'s Name �✓t�<y1.fZfi�S:Fly (.,r�3 G . i'l C NEW CONSTRUCTION REPAIR Telephone# - `�"7- 5-3 i Land Use ' '-S i � i'ci t Slopes('Y,j t O Surface Stones U^- Distances from: Open Water Body (Cl� c�Ci P y ft Possible Wet Area l f !ft Drinking WaterWell _>e-�e{t Drainage Way-k— ft Property Line -Y �(1`ft Other _fr SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) a� , 9G Al N" 5:l� Parent material(geologic) Depth to Bedrock Depth to Groundwater. Standing Water in Hole:-k"J -i(l Weeping front Pit Ree r Estimated Seasons!High Grourdv.,ater p( tr Il �, DETERNIINATION FOR SEASONAL HIGH WATER TABLE Method Used: _ ep ✓ Depth Observed standing in obs.hole: . __-_ in, Depth to sell mottles; Depth to weeping from side of obs.holc: in, ©roundwitter Adjustment ft. Index Well# Reading Date: Index Well level, Adj.factor Adj.(Iroundwater level PERCOLATION TEST Date Tani' Observation Z Hole# _ Time at 4" �_� Depth of Perc y Time at 6" Stan Pre-soak Time @ _. e`t C9�t `Time(9"-6") _ End 11're-soak Rate Min./inch Z r Site Suitability Assessment: Site,Passed -/._._ Site Failed: Additional Testing Needed(YIN) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***.If percolation test is to be conducted within 100' of wetland,,you must first notify the Barnstable Conservation.Division at least one(1) week prior to beginning. �� ��✓ Q:4S CPTIC\PCRCrORM.DOC i DEEP.OBSERVATION HOLE LOG Hole# i Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, Consistency,% ravel DEEP OBSERVATION HOLE LOG Hole# Z Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. r_ Consistency % ravel r , DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface.(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. C nsistc c .%Gravel)- DE E P OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, Cons' ten ti Flood Insurance Irate MaR: Jac Above 500 year flood boundary No Y Yes Within 500.year boundary No_ Ycs Within 100 year flood boundary No— Yes Depth of Naturally Occurriniz Pervious Material Does at least four feet of naturally occurring pervious{matorial exist in all areas observed throughout the area proposed for the soil absorption system? If not, what is the depth of naturally occurring pervious material? Certification I certify that on « l ~(date)I have passed die soil evaluator examination approved by the led b the consistent with . nvironmental Protection and that the above analysis was perforn y Departtnent of E , the required trainin expertise and experience described in 310:CNIR 15.017. Signature Date C QASEPTICtPERCFORM.DOC r i Coastal Health comments: 600 South Main Street Ideally, I would recommend an IA and alternative SAS for greatest contaminant removal. If possible in the yard areas, a drip dispersal alternative SAS would be the best even without other IA treatments. Reductions in Nitrogen are important in this area, but also the removal of other contaminants. Town of Barnstable oF� , ,xYy c Department of Regulatory Services Public Health Division u.� Date At.i639 A��� 200 Main Street,Hyannis MA 02601 Its 1 Date Schedtiled.� Trine - Fee Pd. 0�}t P, G' 4 Soil Suitability.Assessment for tSe Aisposal r Performed By: `=' r 1'`t "' � S E 7 Witnessed By: Location Address LOCATION & GENERAL INFORMATION C0T� C j ni.$ ��,C 1 Owner's Name 1'l d "o'CLS HI C Z_.1k-ff— cen fern 1 11- Address G 00 MQ 47 Assessor's Map/Parcel: C-Qvt-• -e-V•.l 1{' Ma C� 3 1211gincer's-Name �✓? Y1£L S :✓l� ( , C NEW CONSTRUCTION REPAIR 3< .. Te1e bane/# <- Land Use Slopes(%) 7 i O t o Surface Stones Distances from: Open Water Body G (cc) fi Possible Wet Area j �� ft Drinking Water Well �C ft Drainage Way ft Property Line, r� �ff Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pare tests,locate wetlands in proximity to holes) •Z �g Parent material(geologic) �U � Depth to Bedrock C{ 0 Depth to Groundwater. Standing Water in Hole: l 1l_ Weeping from Pit 171ce Estimated Seasonal High Groundwater tr DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: n — Depth Observed.standing in obs.hole:. _____ in, Depth to soil mottles: i /ff s in. Depth to weeping from side of obs.hole: in, Groundwater Adjustment f[. Index Well# Reading Date: Index Well level Ad,l,'factrar,,,'., - Adj.Oroundwater Level PERCOLATION TEST aU_ 'rImo Observation '2— Hole# — Time at h" _ w� Depth of Perle Time at b" Start Pre-soak Time @ (o) ^. (l C4,1 time(9"-6") End Pre<soak Irate Min./Inch Z'" Site Suitability Assessment: Site Passed J Site Failed: Additional Testing Needed(YIN) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:\S r-PTIC\PERCrOP,M.DOC DEEP.OBSERVATION HOLE LOG Hole.# t Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Comistency..% ravel Zit —t 1 C LMti S '� 2CS'Y / 9q c` ? Y►� '/ DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,..Boulders. Consistent % ravel 6 DEEP OBSERVATION HOLE LOG .Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.)_ (USDA) (Munsell) Mottling (Structure,Stones,Boulders. C nsisttncy.%Gravel) DEEP OBSERVATION HOLE LOG Mole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Cons' ten ra Flood Insurance,Rate Map; Above 500 year flood boundary No� Yes Within 500 year boundary No Yes Within 100 year flood boundary No._„. Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not, what is the depth of naturally occurring pervious material? _ Certification I certify that on « i L(date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required trainin J expertise and.experience described in CIO CMR 15,017. i Dat$ .Z.LC (q Signature Q:\S�EFT1C\PERCFORM.DOC TOWN OF BARNSTABLE ,., n� /�, LOCATION S900 U�JL/"i/�/"/A/�t/ � SEWAGE # VILLAGE 0EAI T�R4114 ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) lm�� (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No L oe 1 t�Joo �s DEED RESTRICTION WHEREAS, Paul Waldmiller of 1221 Oyster Cove Drive, Sarasota, FL 34242, is the Personal Representative of the Estate of Thomas J. Hazlett, owner of 600 South Main Street, Centerville, MA 02632, which land is described in Deed Book 26256, Page 125 and being Shown as Lot 43, on Map Number 186 of the Town of Barnstable Assessor's Office. WHEREAS, Paul Waldmiller, as Represntative of said land has agreed with the Town of Barnstable, Board of Health, to a restriction as to the number of bedrooms which can be included in any home built on said land as a pre-condition of obtaining a disposal works construction permit in compliance with 310 CMR 15.000 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage. WHEREAS, the Town of Barnstable, Board of Health, as a pre-condition to granting a Disposal Works Construction Permit for a septic system in compliance with 310 CMR 15.000, State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on said land be put on record with the Barnstable County Registry of Deeds by recording this document. NOW THEREFORE, Paul Waldmiller, hereby places the following restriction on the above referenced land in accordance with their agreement with the Town of Barnstable, Board of Health which restriction shall run with the land and be binding upon all successors in title: 1. 600 South Main Street, Centerville, MA may have constructed upon it a house containing no more than four (4) bedrooms. Paul Waldmiller agrees that this shall be a permanent deed restriction affecting the dwelling located at 600 South Main Street, Centerville, MA and being described in Deed Book 26256, Page 125. i I_ For title, see Deed recorded in Book 26256, Page 125. Executed as a sealed instrumen his day of �A �� , 2019. r Owner's signature/s STATE OF FLORIDA , ss Date LUC6 `Z , 2019 Then personally appeared the above named ksuz known to me to be the person/s who executed the following instrument and acknowledged the same to be their free act and deed, before me. Goa Goon Notary Public State of Florida f4otary Public My Commission Expires 120/2Q20 Commissim No.GG57827 My commission expires: ( l-aa-aaa� (date) URNS`BLE REGISTRY OF DEIEDS John Fa Meade, Register 2 VARIANCE REQUESTS /� n, N - Rooa 1� 310 CMR 15.4050)(f): /- X 1) A 25' variance, septic tank to coastal bank, for a 0' setback. ° church N 2) A 25' variance, pump chamber to coastal bank,_ for a 0' setback. �i MADEP,pOLICY 82-1 / 3) A 50' variance, S.A.S. to coastal bank, for a 0' setback. / �� �� _ ______� Boon n -LOCAL REGULATION Chapter 360. Article 1 - Setback Requirements "a 4) A 100' variance, septic tank to coastal bank, for a 0' setback. 13vW1-1?i' 5) A 100' variance, pump chamber to coastal bank, for a 0' setback. Sis / LO�r/ 6) An 100' variance, S.A.S. to coastal bank, for a 0' setback. �� P ( AREA rWORK LIMIT / 0,960 �'sf SILT FENCE 7) A 38' variance, septic tank to vegetated wetland, fora 62' setback. i, % / �� hp 00. LOCUS � �o�o °�• 8) A 41' variance, pump chamber to vegetated wetland, for a 59' setback. ro 9) A 42' variance, S.A.S. to vegetated wetland, for a 58' setback. D BOX WATER SURFA E b 2.a1 s Vs 1 �/ // Nm N /���Q�� d esE STREAM BED; / / ^ \�/I' / 2.32 ! / `q9' h �::', , �• (� O. \ QV BVW2-5 gD Ladd Rd a VW1-10/ / / ��' :': .^ 2 H �P� (7� 3.97 M-, • ' ,� Q _ , , LOCUS MAP PK. NAIL SET Bvw%.PO j�P gn°e 0.3. .. � �� ,�C ' 4 4 NOT TO SCALE EL.=8.84 •03 �� 9,6� 1019 ' �0F f +3.00/ 9,71 xa5 .: P=2.: >>• . Vegetated ; LEGEND avw2-3 EXISTING CONTOUR PROPOSED SEWER-1 CONNECTION T P 1. Wet/and V° ' / 3,83 x 11.98 EXISTING SPOT GRADE INV.=8.63 (ADD CLEANOUT) x 8.41 .►�, .9.64:� v,i- - w '..� I• i' / W EXISTING WATER SVC. EXISTING CESSPOOLS Q .., :.,'< 5G5F." .. 00 ' J 1 mJ !X G EXISTING GAS SERVICE 3.71 O r''•: "1io. + 0 g +2,a8i G �� (OVERFLOW TO BE LOCATEO BY CON TRACTOR) +2,60 9,68 / `. . . i 2' pa `.PK. SET' `: i lo.z?; `:.;: ..:: 0 4S -UGW- ONDERGROUND WIRES TO BE PUMPED, FILLED WITH i s.ea. / o / J W SAND AND ABANDONED HRUBS C PROPOSED S PROPOSED SEWER / 1o.a1': ° \ PUMP/CHAMBER/ W -K3,17 ' WETLAND SYMBOL C7 BV 1-7 / . loh7 BVw2- 2, 9.54 �. + ■ f ( 4.02 13� WF-12 O i x 9.19 LSCSF� WETLAND FLAG �,�I k I PR OSED 12.13 %!QF� x \tile 10.26 � SEPTIO,TANK TEST PIT BVW1-6 9,93 x PAT/0 x T031 1 B3.96 1 �+2.93 3.0 0.: . 1 x 9.58 ) x 4,67 i' BENCHMARK . ` _'. 9,38+ 10,33 G� / Q x A ' PQR / ��_ / O 7.54 c VW1-5 / -� +6.72+6.75 '.. .::: 9.55 9.85 EXISTING /� • �,<. -cs' 6.74 EXISTING CESSPOOL 10.07 -�` TO BE PUMPED, FILLED WITH ° Ve etated 1�� .7.17 / +9,7o HOUSE(#600) x F �rO g T.O.F.=11.0E G� Wetland BVW1-4 x 9.33�� �• SAND AND ABANDONED ��� pF MASS9 p =;r: oR 9,95' g16 �6.59 • >.. 3,97•/;j x 6.86 9• +9.56 P CELLAR �M-2 PETER .E ST MBANK - \ `' ACCESS LSCSF /� 6.64• s 9,70 x OUTSIDE COR./BOTT. STEP oo McENTEE N • 100' FFER •_72_• EL.=10.31 U NoCI35109 VIL TO SAL T A +3.07 • 0x 5.57 \�J. J .27 Z - - _ • F EG/STF�� 4Q BVwi-3 x 7' MONITORING WELL _ -s:9 __ --� �Fv ) (3 � _ 7.1 'r PROPOSED SEWER-2 CONNECTION / � WETLAND CONSULTANT O 3,91 0 6.19 .. 6.99 6.49 INV.=8.38 (EXIST. CLEANOUT) C1 SABATIA, INC. 9 1 / 83 Z 21 Observatory Ln Pocasset, MA 0255 }} 572'' �-� (508) 563-5349 x 3.OS ;■ gPIKE 34 ■ ,a° 0 PARCEL I D. 186-043 3.36 H 4.65 _ �r� / I SPIKE.96 CB ■ LAMP 5, PROPOSED SEPTIC SYSTEM UPGRADE PLAN - 'v2 - p_.■.��.■. _� BVWl-2 I ,... S.34 ' 5.36 ,s4:0'f 4.38 5.19 MAIN STREET I MA •;417 600 SOUTH , CENTERV LLE, 4.97 SW sidewo/k id walk sw 11.1.4'f 4.68 4.70 430 Prepared for: Paul Waldmiller, 1221 Oyster Cove Dr., Sarasota, FL 34242 s.17 5,11 edge of pavement 4.67 4,46 4.13 FEr,�IA FLOOD DESIGNATION 9 OWNER OF RECORD Engineering by: SCALE DRAWN JOB. Na. MAP NUMBER: 25001 CO563J SOUTH j� j,� Engineering Works, Inc. 1"=30' P.T.M. 107-19 EFFECTIVE DATE: JULY 16, 2014 MAIN STREET T �. ESTATE OF THOMAS J HAZLETT g• g Zone X and AE (EL12) 600 SOUTH MAIN STREET 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET No. CENTERVILLE, MA 02632 (508) 477-5313 2/5/19 P.T.M. 1 Of 3 t NOTE: TO PREVENT BREAKOUT, FINAL GRADE PROPOSED SEPTIC TANK PROPOSED PUMP CHAMBER PROPOSED D—BOX SHALL NOT BE AT, OR BELOW, EL.=11.03 PROVIDE RISER WITH FRAME & COVER OVER PROVIDE RISERS WITH FRAMES & COVERS OVER INSTALL WATERTIGHT RISER FOR A DISTANCE OF 15' FROM THE EDGE INLET & OUTLET MANHOLES AND SET OUTLET RISER EACH ACCESS MANHOLE AND SET TO FINISH GRADE. WITH COVER SET TO WITHIN OF THE PROPOSED S.A.S. TO FINISH GRADE. OUTLET COVER SHALL BE SECURED MANHOLES BROUGHT TO GRADE SHALL BE SECURED 6" OF FINISH GRADE. PROPOSED S.A.S. TO PREVENT UNAUTHORIZED ACCESS. TO PREVENT UNAUTHORIZED ACCESS. F.G. EL.=13.5t INSTALL INSPECTION PORT (MIN.) F.G. EL.=12.0 to 13.5t T.O.F.=11.Ot F.G. EL.=11.0 (max.) MAINTAIN 2% GRADE (MIN.) OVER S.A.S. F.G. EL.=10.Ot F.G. EL.=11.3 (max.) PROVIDE ENOUGH WIRE 4" FOR INSPECTION PORT, SLACK TO REMOVE PUMP L = 7'(MAX.) 17' x 35' LEACHING FIELD W/3-4" PERFORATED IN S.A.S., SOLID S=1% (MIN.) ABOVE S.A.S., WITH SCREW CAP SEWER-1, L = 68' SCH 40 PVC 4°SCH 0 PVC SET TO WITHIN 3' OF GRADE. SEWER-2, L = 51' _ 2" 11 CAPPED ENDS S=1% (MIN.) TOP EL.=8.39 p S 1%(MIN.) TOP EL.=8.09 6 4'SCH40 PVC 4'SCH40 PVC THRUST BLOCKS g• AT ALL BENDS I SLOPE OF PERF. PIPE = 0.5% I INV. EL.=10.50(END) 1o"I a 35' EFFECTIVE LENGTH 14" ? �10 INV.-10.92 PROPOSED 11 INV.=10.75 SOIL ABSORPTION SYSTEM (PROFILE) INV.=7.30 48" LIQUID LEVEL � INV.=7.00 2 FLOATS H BOOX INV.=10.68 INV.=7.05 BOTT. EL.=2.76, BOT. EL.=2.46 NATIVE FILL 1500 GALLON SEPTIC TANK MULCH OR VEGETATIVE COVER WIGGIN PRECAST CORP MODEL#1500MONTH 1000 GALLON GALLON PUMP CHAMBER (H-10 RATED) CONNECT TO EXISTING SEWERS WIGGIN PRECAST CORP MODEL#1000MONTH FINISH GRADE SEWER-1, INV.=8.63 (VERIFY) NOTES: (See Pump Detail, Sheet 3) EL.=13.ot SEWER-2, INV.=8.38 (VERIFY) 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE :... ,. :,.;:.:,<. : ;- ;;;,.:••.,. INVERTS, PRIOR TO INSTALLATION. _ :, •; _ '•" FILTER FABRIC BREAKOUT ELEV.=11.03 `Ay W;A•, 2) D—BOX SHALL BE SET LEVEL AND TRUE TO GRADE BOTTOM ELEV.=10.00 ON A MECHANICALLY COMPACTED SIX INCH CRUSHED 3/4"-1 1/2" DOUBLE STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). 5' MIN. SEPARATION TO G.W. 3.5' 5' S' 3.5' WASHED STONE 3) INSTALL INLET & OUTLET TEES AS REQUIRED. AND 4' OF NATURALLY 17' EFFECTIVE WIDTH 4) CONTRACTOR SHALL INSTALL AN APPROVED EFFLUENT OCCURRING PERVIOUS SOILS SOIL ABSORPTION SYSTEM (SECTION) FILTER ON THE OUTLET TEE OF NEW TANK. EST. HIGH G.W. EL: 3.8 5) OWNER SHALL BE RESPONSIBLE FOR CLEANING THE EFFLUENT FILTER ANNUALLY, OR AS NEEDED. SEPTIC SYSTEM PROFILE SOIL LOG DATE: FEBRUARY 1, 2019 (REF, P#15,892) DOSING & STORAGE REQUIREMENTS DESIGN CRITERIA SOIL EVALUATOR: PETER McENTEE SE#1542 DESIGN FLOW: 440 GPD WITNESS: DONALD DESMARAIS RS HEALTH AGENT NUMBER OF BEDROOMS: 4 DOSING REQUIRED: 4 CYCLES/DAY (SAND) ELEV. TP— 1 DEPTH ELEV. TP—2 DEPTH 440 = 4 = 110 GALLONS/CYCLE SOIL TEXTURAL CLASS: CLASS I STANCE REQUIRED BETWEEN PUMP 12.0 0" 12.5 0" DI DESIGN PERCOLATION RATE: <2 MIN/IN A LOAMY SAND A LOAMY SAND DI ON AND PUMP OFF FLOATS: DESIGN FLOW: 440 GPD DAILY FLOW: 440 GPD 11.3 B 10YR 4/2 8" 11.7 B 10YR 4/2 10" 110 GAL/CYCLE _250 GAL/FT = 0.44 FT/CYCLE (SAY 6") GARBAGE GRINDER: NO LOAMY SAND LOAMY SAND LEACHING AREA REQUIRED: (440 GPD) = 594.6 SF 10YR 5/8 10YR 5/8 STORAGE REQUIRED ABOVE WORKING LEVEL: 440 GALLONS .74 GPD/SF 10.0 C 24" 10.0 C 30" STORAGE PROVIDED: PERC INV.(IN) EL: 7.0 — PUMP ON EL: 3.88 = 3.12' PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY (H-10) 26"/44" STORAGE PROVIDED = 3.12' x 250 GAL/FT = 780.0 GALLONS PROPOSED PUMP CHAMBER: 1000 GALLON CAPACITY (H-10) MED. SAND MED. SAND PROPOSED DISTRIBUTION BOX: 1 INLET, 3 OUTLETS (H-20) 2.5Y 6/4 2.5Y 6/4 PROPOSED SEPTIC SYSTEM UPGRADE PLAN 3.8 HIGH G.W. k3 99" 3.8 HIGH G.W. _ 105" INSTALL AN 17' x 35' LEACH FIELD REDOX 7.5YR 5/8 REDOX 7.5YR 5/8 600 SOUTH MAIN STREET, CENTERVILLE, MA SIDEWALL AREA: NOT APPLICABLE 3.2 STDG. G.W. _ 106 3.2 STDG. G.W. _ 111" Prepared for: Paul Waldmiller, 1221 Oyster Cove Dr., Sarasota, FL 34242 BOTTOM AREA: 17' x 35' = 595 S.F. 2.5 114" 2.5 1 120" Engineering by: SCALE DRAWN JOB. NO. TOTAL AREA:.....................................595 S.F. PERC RATE: <2 MIN./IN. Engineering ineering Works Inc. N.T.S. P.T.M. 107-19 STANDING GROUNDWATER, EL.=3.2 , LEACHING CAPACITY = 0.74 GPD/SF x 595 SF = 440.3 GPD REDOX FEATURES @ EL. '3.8 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. SUPPORTING DATA FROM TIDAL DATA LOGGING, LUNAR CYCLE, GW ®3 EL.=3.5(MAX.) (508) 477-5313 2/5/19 P.T.M. 2 Of 3 r NEMA 4 JUNCTION BOX CORROSION RESISTANT BUOYANCY CALCULATIONS & LIQUID-TIGHT CABLE CONNECTORS SUPPORTED PROVIDE WATERTIGHT CONCRETE RISER WITH BY 1-1/4" PVC CONDUIT. JOINTS TO BE MADE 1500 GALLON MONOLITHIC SEPTIC TANK SECURED FRAME & COVER TO GRADE WATERTIGHT. USE SJE RHOMBUS-JB PLUGGER OR EQUAL. PROVIDE ENOUGH WIRE BOTTOM OF UNIT EL.= 2.76 2" BALL VALVE (FIELD ADJUST FOR 20 GPM RATE) SLACK TO REMOVE PUMP HIGH GROUNDWATER EL.=3.8 (INSTALL QUICK DISCONNECT FOR EASY REMOVAL) INSTALL 1' PVC CONDUIT TO HOUSE FOR WIRING BUOYANCY FORCE PER FOOT OF DEPTH: HOISTING CABLE 7x19 STAINLESS STEEL WITH WATERTIGHT JOINTS. WIRE HIGH WATER ALARM 10.0' x 5.9' x 1' x 62.4 Ibs./cu.ft. = 3681.6 lbs. 1/8" DIAMETER. / 1,760 LB. STRENGTH FLOAT TO SJE RHOMBUS TANK ALERT XT ALARM PANEL MAX. DISPLACEMENT = 3.80 - 2.76 = 1.04' PROVIDE ENOUGH WIRE ON CIRCUIT SEPARATE FROM CIRCUIT TO THE PUMP.SLACK TO REMOVE PUMP MAX. UPLIFT PRESSURE = 1.04' x 3681.E Ibs/ft = 3828.9 Ibs. INV.(IN)=7.00 2"SCH. 40 DISCHARGE (THROUGH RISER-SEE PROFILE) WEIGHT OF UNIT EMPTY = 11,005 lbs. 1/4" WEEP HOLE 11,005 Ibs > 3,829 Ibs O.K. ALARM ON EL: 4.21 2" 90' ELBOW 1000 GALLON MONOLITHIC PUMP CHAMBER PUMP ON EL: 3.88 •" BOTTOM OF UNIT EL.= 2.4E PUMP OFF EL: 3.38 18" 2" SWING CHECK VALVE HIGH GROUNDWATER 2.4E 8 BOTTOM OF I 14 PUMP CHAMBER 1 8 2" SCH. 40 PVC DISCHARGE PIPE BUOYANCY FORCE PER FOOT OF DEPTH: ELEV.= 2.46 ADDITIONAL 3/16" VENT HOLE (MIN.) ABOVE PUMP FLANGE MAX.x 5.5' x 1' x DISPLACEMENNTT 1.34' 8.3' = 3.80 - 2.4E Ibs./cu.ft. = 2848.E Ibs. PROVIDE 2- WIDE ANGLE FLOATS: 3" (TO PREVENT PREMATURE PUMP BURNOUT) MA MAX. UPLIFT PRESSURE = 1.34' X 2848.E Ibs/ft = 3817.1 Ibs. FLOAT NOA: PUMP ON/OFF-SJ RHOMBUS (PROVIDED WITH PUMP) LIBERTY LE40 SERIES PUMP .4 H.P. 115 V WEIGHT OF UNIT EMPTY = 8,338 lbs. FLOAT NO.2: ALARM ACTIVATION FLOAT-PROVIDED WITH ALARM PANEL WITH 2" DISCHARGE, OR EQUAL (ON SEPARATE CIRCUIT FROM PUMP SPECIFIED) 8,338 Ibs > 3,817 Ibs O.K. PUMP AND ACCESSORIES AVAILABLE AT: CAPE COD WINWATER WORKS CO., HYANNIS, MA. (508) 862-0166 NOTE: APPROVED ALTERNATE MAY BE SUBSTITUTED. GENERAL NOTES: PUMP DETAIL 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. N.T.S. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE 2' 9'-11-1 2' LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED ON SHEET 8'-3-1 / �-�j Imo-- / -- � 1 BY VARIANCE REQUEST. 20" DIA. COVERS - -i -r- - T r- - -I 20" DIA. COVERS 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR (TYP.) I I I I (TYP.) TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE I I I I I I I I DESIGN ENGINEER. � ` A 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING S 1/2"A 5-t01/2"L � SHOWN T SHALL TO THE DESIGN 5 ENGINEER BEFORECONSRUUCTIONCOTINUES 5. ALL ELEVATIONS BASED ON NAVD88. � 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 4" KNdCI�OUTS I I I I I I I I I I THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF J HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 4" KNOCKOUTS PLAN VIEW 10 (TYP.) PLAN VIEW 17 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. (TYP.) 19. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS 10'-2-1/2"' AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE --8'-3-1/2" PROVIDE 4" TOP PROVIDE 4" TOP DIRECTED BY THE APPROVING AUTHORITIES. 5 To 6 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY INLET INLET I TRANSFER_,1 OUTLET THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING OUTLET OPENING CONSTRUCTION. 3" _ i\ REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS 5 3 1/2 5' 3-1/2" 3" 11. WHERE i IN THE AREA BENATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND 54-1/2" 48" 51-t/2" 54-1/2" 48" 51-1/2' REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). REINFORCING RIB UOUID 3" REINFORCING RIB LIQUID 3„ 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE \ 3" LEVEL 3 1/2" \ LEVEL INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. s'-5-1/2" CROSS SECTION A-A CROSS SECTION A-A PROPOSED SEPTIC SYSTEM UPGRADE PLAN SPECIFICATIONS SPECIFICATIONS 600 SOUTH MAIN STREET, CENTERVILLE, MA 1.) CONCRETE 4,000 PSI AFTER 28 DAYS. 1.) CONCRETE 4,000 PSI AFTER 28 DAYS. 2.) CONSTRUCTION CONFORMS TO DEP TITLE V REGS. 2.) CONSTRUCTION CONFORMS TO DEP TITLE V REGS. Prepared for: Paul Waldmiller, 1221 Oyster Cove Dr., Sarasota, FL 34242 310 CMR SECTION 15.226. 310 CMR SECTION 15.226. 3.) REINFORCEMENT PER ASTM C1227-93. 3.) REINFORCEMENT PER ASTM C1227-93. Engineering-by: SCALE DRAWN JOB. 7 19 4.) PROVIDE POLYMER COATING APPROXIMATE WEIGHT =8,380 LBS 4.) PROVIDE POLYMER COATING APPROXIMATE WEIGHT = 11,005 Lbs Engineering Works, Inc. N.T.S. P.T.M. 107- 1000 GALLON MONOLITHIC PUMP CHAMBER PROposm 1500 GALLON MONOLITHIC SEPTIC TANK 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. WIGGIN PRECAST CORP MODEL#1000MONTH WIGGIN PRECAST CORP MODEL#1500MONTH (508) 477-5313 2/5/19 P.T.M. 3 of 3 -+` VARIANCE REQUESTS / N -310 CMR 15.405(1)(f): /' -- ---~�'� 1) A 25' variance, septic tank to coastal bank, for a 0' setback. / 4 ) a cnurch 2) A 25' variance, pump chamber to coastal bank, for a 0' setback. // / MADEP,POL/CY 92-1 S s 3) A 50' variance, S.A.S. to coastal bank, for a 0' setback. / // /11_� // _ -� Bocon �^ -LOCAL REGULATION Chapter 360. Article 1 - Setback Requirements /� /' /' o 4) A 100' variance, septic tank to coastal bank, for a 0' setback. BVWI-12// 5.239 / 5) A 100' variance, pump chamber to coastal bank, for a 0' setback. / / 6) An 100' variance, S.A.S. to coastal bank, for a 0' setback. L�,Y AREA WORK LIMIT 43,960 ±Sf SILT FENCE 7) A 38' variance, septic tank to vegetated wetland, fora 62' setback. / / // / h0�g• LOCUS 8) A 41' variance, pump chamber to vegetated wetland, for a 59' setback. I./ram 9) A 42' variance, S.A.S. to vegetated wetland, for a 58' setback. d`� �� 1' sb / /q.✓✓sue D-BOX WATER2.41URFA�E ) • By 1 / // STREAM BED, /• / / �' �/� / 2.32 ;/ / / Sg' h �O �:::�: :.,°.� O Q� Bvwz-s �� o <V" `'= �� Ladd Rd / vW1_10/ 4. • �� >' LOCUS MAP TBM-1 ' Q . ';.>. . 1�Q5 ante I �0 4 a NOT TO SCALE PK. NAIL SET 3 1-9-� "i8P 3,` G a % �fi,03 �� �� 9'6 10,9 ' �� f +3.00 EL.=8.84 y 2.7 , 'oP o � 4`Vegetated LEGEND _ 0 9.71 x 1o,as .:.TP-2.,: x � � /. PROPOSED SEWER-1 CONNECTION u OP�' . : --10-- EXISTING CONTOUR V ;:TP 1:' / B3833Wetland ;! x 11.98 EXISTING SPOT GRADE INV. (ADD CLEANOUT) x 8,41 �. .9.6d' ; W EXISTING WATER SVC. EXISTING CESSPOOLS Q °45CSF., ..;'•'t`•�' 0o I x J i �I' ; 3.71 O 10,' + 0 g �J +2.s$r C,��' G EXISTING GAS SERVICE (OVERFLOW TO BE LOCATED BY CONTRACTOR) �+2.60 9.68 / / 2/ O PK SET' `.;; 1022 .:. 0 4S -UGW- ONDERGROUND WIRES TO BE PUMPED, FILLED WITH ' / e.ea.'. / o / J W SAND AND ABANDONED ;i�P� / e.as / SHRUBS C PROPOSED / a b %� �' /� S PROPOSED SEWER 1o.a1 ��\ PUMP/CHAMBEIj/ WETLAND SYMBOL zv 81-7 loh7 1 ` , / ( Bvw2- /,/ / 9.54 • . , .i. + x 9.19 a.o2LSCSF/' WF-12 0 WETLAND FLAG 7.63 P40POSED /' // 12,13 x \ 8 1, SEPTIb\TANK �1 / // TEST PIT Q BVWI-6 x 8 9,93 c' 10,2 x�TBM-2 BV 2-1 �+2.93 3.0 Q... x PA TlO 10.3; x 9.58 ' 3.96 / ,X51 / `�rs'X. ` x • 9.38 + 1\.33 RGN / x 4.67 16 BENCHMARK 7.54 C Pu / �- �,�� VWl-5 / OJ _��/ �n ' 9.55 9.65 �. p, x 5, �- +6.72+6.75 !� ¢ EXISTING CESSPOOL EXISTING /b • G,<. L-(s' 6.74 O� �# 00 USE' 9.7o HO 6 10.07 ' �' TO BE PUMPED, FILLED WITH �• Vegetated 7.1 / + 1 5.2 "1, . �'p SAND AND ABANDONED OF Wetland BVWI-4 t T.O.F.=11.Of oR 3.97 9,95x / 33 16 � MAssq�ti �' l x P / 2Jsc ./J' \6.59 6.86 • 9• +9.56 CELLAR �' �M-2 PETER ST MBANK \ 1 `.64 ACCESS LSCSF-� �/ ) 6.64 s 9.70 x - OUTSIDE COR./BOTT. STEP McENTEE •//t� ssG�-ems 100' FFER - 7.24 _ EL.=10.31 CIVIL ems. . • TO SALT A - -�-� No. 35109 I 1111 O0 ' 141 1/ 27 WELL --�7 9BVWI-3 - � 3,91 71 / � WETLAND CONSULTANT 6.19 6.99 6.49 PR SEWER-2 ION--I NV. 8.38 ST. CLEANOUT SABATIA INC. _ 21 Observatory Ln 83 % x 3,05 / +4.34 ,-� � Pocasset, MA 02559 I SPIKE , 5,72.•` . . �'� 0 PARCEL ID: 186-043 (508) 563-5349 B kN=1� 5,40 lL CB 3.36�4.65 / ' LAMP SPIKE96 5. PROPOSED SEPTIC SYSTEM UPGRADE PLAN 22 Q1�-�..��,__ '-'J,�B4.17 2 I 5.36 154.0'f 4,38 5.19 MA 4.97 SW 5.34 "''' SldeWai{t 600 SOUTH MAIN STREET, CENTERVILLE, sw sidewolk 11 1.4 t 4.68 4.70 4,67 4.46 4.13 4.30 Prepared .for: Paul Waldmiller, 1221 Oyster Cove Dr., Sarasota, FL 34242 FEMA FLOOD DESIGNATION s.17 5.11 edge of Pavement Engineering by: SCALE DRAWN JOB. No. MAP NUMBER: 25001CO563J OWNER OF RECORD P.T.M. 107-19 EFFECTIVE DATE: JULY 16, 2014 SOUTH MAIN STREET ESTATE OF THOMAS J HAZLETT Engineering Works, Inc. 1"=30' Zone X and AE (EL12) 600 SOUTH MAIN STREET 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. CENTERVILLE, MA 02632 (508) 477-5313 2/5/19 P.T.M. 1 Of 3 NOTE: TO PREVENT BREAKOUT, FINAL GRADE PROPOSED SEPTIC TANK PROPOSED PUMP CHAMBER PROPOSED D—BOX SHALL NOT BE AT, OR BELOW, EL.=11.03 INSTALL WATERTIGHT RISER FOR A DISTANCE OF 15' FROM THE EDGE PROVIDE RISER WITH FRAME & COVER OVER PROVIDE RISERS WITH FRAMES & COVERS OVER OF THE PROPOSED S.A.S. INLET & OUTLET MANHOLES AND SET OUTLET RISER EACH ACCESS MANHOLE AND SET TO FINISH GRADE. WITH COVER SET TO WITHIN TO FINISH GRADE. OUTLET COVER SHALL BE SECURED MANHOLES BROUGHT TO GRADE SHALL BE SECURED 6" OF FINISH GRADE. PROPOSED S.A.S. TO PREVENT UNAUTHORIZED ACCESS. TO PREVENT UNAUTHORIZED ACCESS. F.G. EL.=13.5t INSTALL INSPECTION PORT (MIN.) T.O.F.=11.Ot F.G. EL.=12.0 to 13.5t F.G. EL.=10.Ot F.G. EL.=11.3 (max.) F.G. EL.=11.0 (max.) MAINTAIN 2% GRADE (MIN.) OVER S.A.S. PROVIDE ENOUGH WIRE a" DIAM. INSPECTION PORT, SLACK TO REMOVE PUMP L = 7'(MAX.) 17' x 35' LEACHING FIELD W/3-4" PERFORATED IN S.A.S., SOLID S=17 (MIN.) I ABOVE S.A.S., WITH SCREW CAP SEWER-1, L = 68' ¢� PVC 4"SCH 0 PVC SET TO WITHIN 3' OF GRADE. SEWER-2, L = 51' 2" SCH CAPPED ENDS ® S=1% (MIN.) TOP EL.=8.39 ® S 1%(MIN. e" 4'SCH40 PVC (MIN.) TOP EL.=8.09 THRUST BLOCKS 4'SCH40 PVC AT ALL BENDS I SLOPE OF PERF. PIPE = 0.5% ( INV. EL.=10.50(END) 6 6 io"I �o INV.=10.75 35' EFFECTIVE LENGTH U-iia" INV.=10.92 PROPOSED SOIL ABSORPTION SYSTEM (PROFILE) INV.=7.30 48" LIQUID D-BOX INV.=10.68 LEVEL INV.=7.00 2 FLOATS H-20 INV.=7.05 BOTT. EL.=2.76 NATIVE FILL BOTT. EL.=2.46 1500 GALLON SEPTIC TANK 1000 GALLON GALLON MULCH OR VEGETATIVE COVER WIGGIN PRECAST CORP MODEL##1500MONTH PUMP CHAMBER (H-10 RATED) CONNECT TO EXISTING SEWERS WIGGIN PRECAST CORP MODEL##1000MONTH FINISH GRADE NOTES: See Pump Detail, Sheet 3 EL.=13.0t SEWER-1, INV.=8.63 (VERIFY) ( P ) SEWER BREAKOUT ELEV.=11.03 -2, INV.=8.38 (VERIFY) 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPEi. -:� '-`," FILTER FABRIC : ,. " .. INVERTS, PRIOR TO INSTALLATION. '•<. :;..;:,,::.,:`• ;.,.•.,:.: ;>,:-;,..• ':::' :;.-;:;::..:...`..; ..,.: ., 2) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE BOTTOM ELEV.=10.00 3/4"-1 1/2" DOUBLE ON A MECHANICALLY COMPACTED SIX INCH CRUSHED WASHED $TONE STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). 5' MIN. SEPARATION TO G.W.AND 4' OF NATURALLY S' 5' 3.5' 3) INSTALL INLET & OUTLET TEES AS REQUIRED. OCCURRING PERVIOUS SOILS 17' EFFECTIVE WIDTH 4) CONTRACTOR SHALL INSTALL AN APPROVED EFFLUENT SOIL ABSORPTION SYSTEM (SECTION) FILTER ON THE OUTLET TEE OF NEW TANK. EST. HIGH G.W. EL: 3.8 5) OWNER SHALL BE RESPONSIBLE FOR CLEANING THE EFFLUENT FILTER ANNUALLY, OR AS NEEDED. SEPTIC SYSTEM PROFILE SOIL LOG DATE: FEBRUARY 1, 2019 (REF. P#15,892) DOSING & STORAGE REQUIREMENTS DESIGN CRITERIA SOIL EVALUATOR: PETER McENTEE SE#1542 DESIGN FLOW: 440 GPD WITNESS: DONALD DESMARAIS RS HEALTH AGENT DOSING REQUIRED: 4 CYCLES/DAY (SAND) NUMBER OF BEDROOMS: 4 ELEy. TP— 1 DEPTH ELEV. TP-2 DEPTH 440 = 4 = 110 GALLONS/CYCLE SOIL TEXTURAL CLASS: CLASS I DESIGN PERCOLATION RATE: <2 MIN IN 12.0 A 0" 12.5 A 0" DISTANCE REQUIRED BETWEEN PUMP / LOAMY SAND LOAMY SAND ON AND PUMP OFF FLOATS: DAILY FLOW: 440 GPD 10YR 4/2 10YR 4/2 1 1.3 8" 1 1.7 10" 1 10 GAL/CYCLE -250 GAL/FT = 0.44 FT/CYCLE (SAY 6") DESIGN FLOW: 440 GPD B B GARBAGE GRINDER: NO LOAMY SAND LOAMY SAND LEACHING AREA REQUIRED: (440 GPD) = 594.6 SF 10YR 5/8 10YR 5/8 STORAGE REQUIRED ABOVE WORKING LEVEL: 440 GALLONS .74 GPD/SF 10.0 C 24" 10.0 C 30" STORAGE PROVIDED: PERC INV.(IN) EL: 7.0 - PUMP ON EL: 3.88 = 3.12' PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY (H-10) 26"/44" STORAGE PROVIDED = 3.12' x 250 GAL/FT = 780.0 GALLONS PROPOSED PUMP CHAMBER: 1000 GALLON CAPACITY (H-10) MED. SAND MED. SAND PROPOSED DISTRIBUTION BOX: 1 INLET, 3 OUTLETS (H-20) 2. G 6/4 2HIG 6/4 PROPOSED SEPTIC SYSTEM UPGRADE PLAN 3.8 HIGH G.W. 99" 3.8 HIGH G.W.. 105" INSTALL AN 17' x 35' LEACH FIELD REDOX 7.5YR 5/8 REDOX 7.5YR 5/8 600 SOUTH MAIN STREET, CENTERVILLE, MA SIDEWALL AREA: NOT APPLICABLE 3.2 STDG. G.W. — 106" 3.2 STDG. G.W. _ 1 1 1" Prepared for: Paul Waldmiller, 1221 Oyster Cove Dr., Sarasota, FL 34242 BOTTOM AREA: 17' x 35' = 595 S.F. 2.5 1 114" 2.5 1 120" Engineering by: SCALE DRAWN JOB. NO. TOTAL AREA:.....................................595 S.F. PERC RATE: <2 MIN./IN. Engineering Works, Inc. N.T.S. P.T.M. 107-19 STANDING GROUNDWATER, EL.=3.2 g g = 0.74 GPD SF x 595 SF = 440.3 GPD REDOX FEATURES @ EL.=3.8 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. LEACHING CAPACITY / SUPPORTING DATA FROM TIDAL DATA LOGGING, LUNAR CYCLE, GW @3 EL.=3.5(MAX.) (508) 477-5313 2/5/19 P.T.M. 2 Of 3 r NEMA 4 JUNCTION BOX CORROSION RESISTANT BUOYANCY CALCULATIONS & LIQUID-TIGHT CABLE CONNECTORS SUPPORTED PROVIDE WATERTIGHT CONCRETE RISER WITH BY 1-1/4" PVC CONDUIT. JOINTS TO BE MADE 1500 GALLON MONOLITHIC SEPTIC TANK SECURED FRAME & COVER TO GRADE WATERTIGHT. USE SJE RHOMBUS-JB PLUGGER BOTTOM OF UNIT EL.= 2.76 OR EQUAL. PROVIDE ENOUGH WIRE 2" BALL VALVE (FIELD ADJUST FOR 20 GPM RATE) SLACK TO REMOVE PUMP HIGH GROUNDWATER EL.=3.8 (INSTALL QUICK DISCONNECT FOR EASY REMOVAL) INSTALL 1' PVC CONDUIT TO HOUSE FOR WIRING BUOYANCY FORCE PER FOOT OF DEPTH: HOISTING CABLE 7x19 STAINLESS STEEL WITH WATERTIGHT JOINTS. WIRE HIGH WATER ALARM 10.0' x 5.9' x 1' x 62.4 lbs./cu.ft. = 3681.6 lbs. 1/8" DIAMETER. f 1,760 LB. STRENGTH FLOAT TO SJE RHOMBUS TANK ALERT XT ALARM PANEL MAX. DISPLACEMENT = 3.80 - 2.76 = 1.04' PROVIDE ENOUGH WIRE ON CIRCUIT SEPARATE FROM CIRCUIT TO THE PUMP.SLACK TO REMOVE PUMP MAX. UPLIFT PRESSURE = 1.04' x 3681.E Ibs/ft = 3828.9 lbs. INV.(IN)=7.00 2"SCH. 40 DISCHARGE (THROUGH RISER-SEE PROFILE) WEIGHT OF UNIT EMPTY = 11,005 lbs. 1/4" WEEP HOLE 11,005 lbs > 3,829 lbs O.K. ALARM ON EL: 4.21 2" 90' ELBOW 1000 GALLON MONOLITHIC PUMP CHAMBER PUMP ON EL: 3.88 _ 18" 2" SWING CHECK VALVE 14" BTO HIGH GROUNDWATER EL.4 PUMP OFF EL: 3.38 8 3.8 I BOTTOM OF 1 2" SCH. 40 PVC DISCHARGE PIPE BUOYANCY FORCE PER FOOT OF DEPTH: PUMP CHAMBER ELEV.= 2.46 ADDITIONAL 3/16" VENT HOLE (MIN.) ABOVE PUMP FLANGE 8.3' x 5.5' x 1' x 62.4 Ibs./cu.ft. = 2848.E lbs. PROVIDE 2- WIDE ANGLE FLOATS: 3" (TO PREVENT PREMATURE PUMP BURNOUT) MAX. DISPLACEMENT = 3.80 - 2.46 = 1.34' MAX. UPLIFT PRESSURE = 1.34' X 2848.6 Ibs/ft = 3817.1 Ibs. FLOAT NO.1: PUMP ON/OFF-SJ RHOMBUS (PROVIDED WITH PUMP) LIBERTY LE40 SERIES PUMP .4 H.P. 115 V WEIGHT OF UNIT EMPTY = 8,338 lbs. FLOAT NO.2: ALARM ACTIVATION FLOAT-PROVIDED WITH ALARM PANEL WITH 2" DISCHARGE, OR EQUAL (ON SEPARATE CIRCUIT FROM PUMP SPECIFIED) 8,338 lbs > 3,817 lbs O.K. PUMP AND ACCESSORIES AVAILABLE AT: CAPE COD WINWATER WORKS CO., HYANNIS, MA. (508) 862-0166 NOTE: APPROVED (ALTERNATE MAY BE SUBSTITUTED. GENERAL NOTES: PUMP DETAIL 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. N.T.S. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED ON SHEET �8'-3-1/2" 9'-11-1/2" � 1 BY VARIANCE REQUEST. 20" DIA. COVERS - -� r- - -r - -, 20" DIA. COVERS 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR - -� T - r r- - (TYP,) I I I I (TYP.) TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE �A oil 1 I I � A A I I I I I I A 4. DESIGN CONDITIONS ENCOUNTEREDDURING CONSTRUCTION DIFFERING 5' 5 1/2"� 5-10 1/2' I I I IIFROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ( _ 1 I I ( = 1 I I ( = 1 ENGINEER BEFORE CONSTRUCTION CONTINUES. j j j j I 5. ALL ELEVATIONS BASED ON NAVD88. I I I I I 4" KNCICI IoUTS 1 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF _ ,_ - �- - - HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. I 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 4" KNOCKOUTS PLAN VIEW 10 (TYP.) PLAN VIEW 17 J B. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. (TYP.) 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS �10'-2-t/2 PROVIDE 4" TOP AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE - 8'-3-1/2' ---I PROVIDE 4" TOP DIRECTED BY THE APPROVING AUTHORITIES. s To 6 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY INLET I OUTLET INLET � TRANSFER EP �� OUTLET THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING 3" ING CONSTRUCTION. 5' 3 1/2" 5'-3-1/2" 3" I \ 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND 54-1/2" 48" 51-1/2" 54-1/2" 48" 51-1/2 REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). REINFORCING RIB LIQUID 3" REINFORCING RIB LIQUID 3„ 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE 3" \ LEVEL 3_1/2" \ LEVEL INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. 9'-5-1/2' CROSS SECTION A-A CROSS SECTION A-A PROPOSED SEPTIC SYSTEM UPGRADE PLAN SPECIFICATIONS SPECIFICATIONS 600 SOUTH MAIN STREET, CENTERVILLE, MA 1.) CONCRETE 4,000 PSI AFTER 28 DAYS. 1.) CONCRETE 4,000 PSI AFTER 28 DAYS. 2.) CONSTRUCTION CONFORMS TO DEP TITLE V REGS. 2.) CONSTRUCTION CONFORMS.TO DEP TITLE V REGS. Prepared for: POUT Waldmiller, 1 221 Oyster Cove Dr., Sarasota, FL 34242 10 CMR SECTION 15.226. 310 CMR SECTION 15.226. DRAWN JOB. NO. 33.) REINFORCEMENT PER ASTM C1227-93. 3.) REINFORCEMENT PER ASTM C1227-93. Engineering by: SCALE 4.) PROVIDE POLYMER COATING APPROXIMATE WEIGHT =8,380 LEIS Works, S 4.) PROVIDE POLYMER COATING APPROXIMATE WEIGHT = 11,005 Lbs Inc. N.T.S. P.T.M. 107-19 1000 GALLON MONOLITHIC PUMP CHAMBER PROPOSED 1500 GALLON MONOLITHIC SEPTIC TANK 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. WIGGIN PRECAST CORP MODEL#1000MONTH WIGGIN PRECAST CORP MODEL#1500MONTH (508) 477-5313 2/5/19 P.T.M. 3 Of 3